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1989, 06-26 Permit App: 89001908 Reroof
INFORMATION WORKSHEET PARCEL NUMBER: % S3 y 0 5 �e STREET ADDRESS: 6/() CITY/STATE/ZIP: 31�UKp� Oa l gq 1a SUBDIVISION: /(J/ S7/-% 6A, D1$%( BLOCK:_L LOT: ZONE: - DISTRICT: LOT AREA: '"` F/A: WIDTH: % 0 DEPTH: / YU R/W: # OF BUILDINGS: 4 OF DWELLINGS: WATER DISTRICT:. ref,.,....,.. MAILING ADDRESS:. �' ':' b -7 /(j '%1QA,(ti. OWNER: CITY/STATE/ZIP: PHONE: . .._ 94?-% - CONTACT: ,O}VS - /7nS�POn4i/,-�-- 0-(? co PHONE: l� - 1/70 SETBACKS: - FRONT: LEFT: RIGHT: REAR: (2-i)( 3Z0 PERMIT USE: kYI, 2&t }Sea I%I�r/.t.24At?'U - 3135 57 BUILDING INFORMATION tooB CONTRACTOR LICENSE NUMBER: - - 3701-,37L �6 5 CONTRACTOR: . L/f -K PHONE: - //0-- //76. MAILING ADDRESS: Y•o •-3 • 37o7 , (,JC. S?fzzo 32e ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: 4 HANDICAP: SEWER (Y/N): HYDRANT: