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1992, 11-13 Permit App: 92009874 Siding
INFORMATION WORKSHEET * LOT AREA: F/A: WIDTH: DEPTH: R/W: * # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: * OWNER.-- L L jRD(Lo C—q",o 0 ( PHONE: S09 - 9 a 3 - Q (, 31 * MAILING ADDRESS- i 8 :S -U$ -Z- CITY/STATE/ZIP: ZCITY/STATE/ZIP: CH O 1(0 * CONTACT.- 7 PHONE: - e3, -),g - 4(, e( * SETBACKS: - FRONT: LEFT: RIGHT: REAR: H * PERMIT USE: * BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: -..-3 }�Gyq�? (o D•1 * G CONTRACTOR' JAY PHONE: * MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - - * MAILING ADDRESS: - NEW. REMODEL; "DITION CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES• BUILDING DIMENSIONS:` X (WIDTH X DEPTH) SQ. FT.: * REQUIRED PARKING: # HANDICAP: SEWER (YIN): HYDRANT: