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1989, 05-23 Permit App: 89001399 Soffit, Fascia i INFORMATION WORKSHEET 1 * **************************************************************************** * PARCEL NUMBER: * q 3 * • STREET ADDRESS: S , �' / * e/ ,4 q1�6 * CITY/STATE/ZIP: - _ : -e, * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * DEPTH: R/W: * F/A: WIDTH: LOT AREA: * # OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT: * • OWNER: ' / )' i . ,J!_ Hca PHONE: 52)9 - 902 II- ,76.9S7 * c * MAILING ADDRESS: ,J , o�3 ® i�YY7 n" -� * U * CITY/STATE/ZIP: ' ' i ldA L p(4)-6 6 * CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: )10#;/- •"/ -7 C-La-- * * k*************************************************************************** BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: 1/Y V 5"2 �. -34/216 * CONTRACTOR: C _ • Y e'er PHONE: - 9-4 - 6 4 * A * MAILING ADDRESS: , 3/a &a & L nn, � l Cllr 4-04a/UO (�/'-�J 99`�/�"/ * / * 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: # HANDICAP: SEWER (Y/N) : HYDRANT: * ************************************************************** ************ V eat -- /y6,o /4-9-t .rn,t� ry- e — _<7 5°