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1987, 07-14 Permit App: 87002168 Demo
r ****************************************************************************** * INFORMATION WORKSHEET * ****************************************************************************** * t2.5313- * * PARCEL NUMBER: 0-76e * * * STREET ADDRESS: ,,.. -)--9,05. /� i-r,.,,t-1-- * * * CITY/STATE/ZIP: V �ja, v� LA I * * * * SUBDIVISION: C(1C_(( 4 l j Pit * * * * BLOCK: LOT: ZONE: -PT DISTRICT: * * * * LOT AREA: 2:7000F/A: WIDTH: DEPTH: R/W: * * *. # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: * * * * OWNER: -t---r .vt K "1-L.) PHONE: - - * r tijll e' 7.t ukirr i 12 * * MAILING ADDRESS: ( ))( l.10 f, * * * CITY/STATE/ZIP: �40�i/�a-✓lam t.�v [- 4gz_ii * * CONTACT: PHONE: - - * * * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: *. * * PERMIT USE: n�Jt,lnLt-- r rt.) moi= VAL(cy 1-4O NJEAe J * * *******************************************************'*********************** * BUILDING INFORMATION * * * Tc.s Lr�C�-c v i * * CONTRACTOR LICENSE NUMBER: � ��5 * CONTRACTOR: (-) Y4=t -ISD✓i PHONE: -9atf - 73, * * MAILING ADDRESS: f cO7 Lv C c.,- .,- , * 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. : WV * * * REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: * ******************************************************************************