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1990, 06-21 Permit App: 90002902 Reroof
INFORMATION WORKSHEET /§1 e9 6' 7 PARCEL NUMBER: /d,-.6.-9.i, Agor STREET ADDRESS: (1 7D 729 I / ., ,,,,,,i, CITY/STATE/ZIP: a 0 , zC/Q G'9o14 SUBDIVISION: ©e,0 7607' BLOCK: LOT: ZONE: /7/544; DISTRICT: /7 - LOT AREA: " F/A: WIDTH: DEPTH: /..7S R/W: ..5-7) # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: ff OWNER: Z.,e)„A,,/,‘,,,t 8 J _, i PHONE:,`49 -foe- f�, 5' MAILING ADDRESS: /D _ :� - _ -- CITY/STATE/ P: ,4 i'/ i a :_- �cz CONTACT: '-- =- 46 'Fi_.0_/ // / PHONE;`2:;9 - //7 ,C 3 SETBACKS: - FR NT: .. LEFT: RIGHT: . REAR: PERMIT USE: P ` , (�. ********************************* ****************************************** BUILDING INFORMATION CONTRACTOR LIC NSE NUMBER: e %w-- ,D 4 -* 2 N7 i CONTRACTOR: � �. ? / ,,,/ o HONE: ..,L1 —,' . — //7 X .5 /‘ MAILING ADDRESS: A' ,. E- f 2) 7ief-A1-/C4C. 1-/ Ze.)0 , '-9 a� 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: