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1995, 09-25 Permit App: 95007678 Siding, Soffit, Fascia 9,6" 7 7d� VA L-,-( - 10, S B-1S 6o ********************************'******************************************** INFORMATION WORKSHEET 7° ************************************************************r*************** * PARCEL NUMBER: VL,?6---,3- /16-.3 * l * STREET ADDRESS: S ( 09, N . �c.c. `1 °? /l - * * CITY/STATE/ZIP: c.?QV."-[, al g1-‘1, * * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: , 'WATER DISTRICT: * * OWNER: 5 ,c� . ¢ M ra n...J -1-A l l�y PHONE: -°C2.-t, - 163 L. ** MAILING ADDRESS: c 00 g /v . tZe_e_S OA . * * CITY/STATE/ZIP: S15“L,z.-e C,-)P, cle1Z(L * * CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: Si A,_if ' c9e� { (c—�Sc 1 r**************************************************************************** BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: f N L li da` (IC 4L f-A e- * o �r CONTRACTOR: �c V�N� k .,ek(--(--.cif • / PHONE: - `Z-p) - 1 dog L * • * MAILING ADDRESS: 3167. !v- _n{ g a^'^'L * * 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: N HANDICAP: SEWER (Y/N) : HYDRANT: * k****************************************************************************