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1992, 08-21 Permit App: 92006725 Siding, Soffit UA\J4 CoA — ID 0'311 , 00 • ��z = f c-k.. '4Z **************************************************************************** INFORMATION WORKSHEET * ************************** *********************************Ir*************** * * PARCEL NUMBER: * STREET ADDRESS: Oci o _ `�" '�,.4 on,_,1 * CITY/STATE/ZIP: C t-.)A a-O(o * J�'�ic�n�i * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: U OF DWELLINGS: WATER DISTRICT: * * OWNER: D���n,S 1ti`a1t ,,•o z __ PHONE: .5!)G1 -94G, - aa a a * * MAILING ADDRESS: 3'}(3y S S ()2 * �!�l Oo .� * CITY/STATE/ZIP: S?o ,- ,1Aa * * CONTACT: �-i s„ _ PHONE: S oS - `3 D8 - <-)to/5(, * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * PERMIT USE: r o,.-- „„) 5 * t**************************f ************************************************ BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: * * CONTRACTOR: 1-'t G VP+-? 6c- 3 N [, )-1 PHONE: 5-61 - 1 DS - (-1(0S v * * MAILING ADDRESS: l.) 3 i 0G, Pec.->^nw S Po ac ` D-4—2- * * ARCHITECT/ENGINEER: __ _ PHONE: - - * _ _ _ _ * MAILING ADDRESS: * * NEW: REMODEL: k------v 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: * *****************************************************************************