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1987, 02-12 Permit App: 87000322 Garage44*▪ 4p*******444444*****4**4**4444***4*********4****4****44**4**44*****44444*** * INFORMATICN WORKSHEET * 'J***********************************4************4*44****444****44*4*444444*** 4 GENERAL INFORMATICN % 2 2753 -I(0av * * PARCEL NUMBEF: * * * * * SUBCIVISIGN: STREET ACCRE5S: 5-3 °O4 oVPvw 5 CITY/STATE/ZIP: Po /« ' e * � * BLOCK:__ ____ LOT: Z ZCNE:_1L_ry,� vi CISTRICT#:_______ * * LOT AREA: F/A: h1DTH:DEPTH:__ R/h: * * * m CF eLCGS: # CF DWELLINGS: 4 * * 4 OW'NER:--9—k---.o„f QCs FHCNE:-fa ? '2Y _59/y * * MAILING ADDRESS :_B .f -c._ * * * * CITY/STATE/ZIP: A)aXe4-jAat-44 )14)a -A- '?-Ta3C 4 *•4 * CGNTALT: - FHCNE: - - * * * SETBACKS - FRCNT * PERMIT LSE: LOCA"IE (ccA''m- E /4t )('24f 4 *444*4*44444*4444**44***4444***44444*444*4***44*4444,4*4*4*4444444****44****** LEFT ___ kIGHT REAR ___ * BLILCING INFCRNATICN * * CONTR LIC#: 1 4 4 * CONTRACTCR: PhCNE:____-__-- * 4 * MAILING ACCRESS:* * * * APCH/ENG: PhCNE:___- ___ - * * * * MAILING ADCRESS: * * * * NEW:__ RENOJEL:__ ADDITION:__ CHANGE CF LSE:— * 4 * * DWELL UNITS: OCCUFANT LGAC:____ BUILDING HGT:_—__ STORIES:____ * * * BUILCING CIMENSICNS:X (WIDTH X DEPTH) SCLARE FEET: ___ _ * * * REQUIRED PARKING:__ #HANDICAP:__— SEWER (Y/N1:___ HYDRANT (Y/N1:_ * * * 44444444444444444******4***%***4**************************************44444444 t**************t******************4*****4****4****44***4t**************;*flet*• * MOBILE FCNE INFCRNATICN �* * CONTR LIC#: * * * * CONTRACTOR: PNCNE: - - * * * * MAILING ACCRESS: * * * PREVIOLS ADDRESS: * * * LOCATION: PARCEL NLNBEP.:____� * * * * STREET: n * * CITY/STATE/ZIP:_ * * MAKE: NCDEL: * * * * SEPIALk: MIDTF:LENGIF:____ * ***********44x444444********************************************************** * RELCCATICN INFCRhATICN * * G O N T R L I C#: C1"hV R 1-- * CONTRACTOR:__-- '�^ o~- PF-CNE:SUr' --5`7/Y * MAI LINC AOLRESS: * * * * PREV ICus ACDRESS: N-60)-i& &OY/4-4,vdi * * * LCCATICN:__ PARCEL NUMBER: * S1REET: �fiarrl * CITY/STATE/ZIP: .-SP`KauL VU/ ?`l)-0 * ************444**444********************************************************** * SIGN INFCRMATICN 4 * CONTR LIC#:__ * * * * CONTRACTOR:___-- FICNE:____ _—_ _—__ * * * * MAILING ADDRESS: * * * * SDUARE FOOTAGE: POLE FEIGHI: * * * * * **************4*************************************************************** * DEMCLIIICN INFCRNATICN * * CONTR LIC#: * * * * CONTRACTOR: FhCNE: * MAILING ADDRESS: * * BUILCING SCLARE FOCTAGE:____ NUMBER CF BUILDINGS:__ * * * ****************************************************************************** . : 1— • , . • .. . : ., 1 I 1 , ,•k. 1 --I 3 ----t--- - — i 1 _I -L 1- ..-- 1 'mu -- . L .1 – I _I fl --1--------__ i I - i' lc i i L I •-- u) /A, cile---S 1 I 1 , --,..--_. , r , , , 1 . fatpose.4. 001zcseterP i tPlef.r4.1C H i --- ' — . • 1 I L -----,... 0 1 i— L i -i 1 --t 0 --, 11 i 7 I 1 _ I 1* H ---1- i f-- 1 , 1--