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1992, 10-12 Permit App: 92008755 Siding, Soffit, Fascia 6 -- $155 UAL'A-na✓1 (5S`13 .(4'v INFORMATION WORKSHEET * ************************************************************4r*************** * * PARCEL NUMBER: f * STREET ADDRESS: (I 1�" 0 1 c_h . I cz c.-f * I * CITY/STATE/ZIP: . f)oe,cni. LJA 99e, I * * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA; F/A: WIDTH: DEPTH: R/W: * * * OF BUILDINGS: * OF DWELLINGS: . WATER DISTRICT: * * OWNER: e054 SA L)P O PHONE: s - 908 - 30 E3 * * MAILING ADDRESS: 11 I `-� 10 I S C.-14 c 2 C..`f * q * C CITY/STATE/ZIP: . -Pc) �t1 rcia I C' * CONTACT: f O t- PHONE: SO9 - `i D u - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: ,-. ----,,, ,, i /sit- .**************************************************************************** BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: 1—{C U A{-C t C 3'4 4_,,,, 1-1.2 * * CONTRACTOR: �(C. UAt-dL`j PHONE: S09 -'10-8 - 1-46 @Co * * MAILING ADDRESS: 13 31 0 Co A e-i onn<c (c-0 * 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: I HANDICAP: SEWER (Y/N) : HYDRANT: * _it***************************************************************************