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1987, 03-16 Permit App: 87000609 Repair Fire Damage * INFORMATION WORKSHEET ************************************************************************* * * * PARCEL NUMBER: l 4V91-72- 2132- * * STREET ADDRESS: E • 141-- c; S K ARP * * * CITY/STATE/ZIP: w A. * SUBDIVISION: ‘2T4A0 To Vt-4-$Oi)L t4 * BLOCK: % LOT: IV,' ZONE: 5 c$2 DISTRICT: * LOT AREA: F/A: F WIDTH: rsc DEPTH: I ?Sr R/W: So=; * * # OF BUILDINGS: 1 # OF DWELLINGS: * OWNER: (A) ill I A-CO , (AA- PHONE: - - * MAILING ADDRESS: 45 / S* CITY/STATE/ZIP: S P6 X 4rke , wig. * CONTACT: PHONE: - - * SETBACKS - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: FIRE iPphw NC tZ�?AAiZ Rocr * * ************************************************************************* * BUILDING INFORMATION /O 8 * I * CONTRACTOR LICENSE NO. : 4SQ r J C- 132- c_3-- * * CONTRACTOR: r V CO €Vl 4 PHONE: 4/`l S S Z * * Q * * MAILING ADDRESS: 7 2 7 O lel C l v yvl j3 v S • * * ARCHITECT/ENGINEER: PHONE: - * * * MAILING ADDRESS: * * NEW: REMODEL: X ADDITION: CHANGE OF USE: * * DWELL UNITS: ( OCCUPANT LOAD: BUILDING HGT: STORIES: 4 * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. * * *REGUIRED PARKING: -- # HANDICAP: SEWER: (Y/N) : N HYDRANT: N * ************************************************************************* *oma Vu4E