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1992, 03-12 Permit App: 92001374 Siding, Soffit, Fascia 1y 5LJL-JJa) 9a- i37i L.)AC_L>A T _ 0`.100 `'C, ;,€A 6-9 1 , ' 14550 **************************************************************************** INFORMATION WORKSHEET igf • * **************************************************************************** * * PARCEL NUMBER: __.._ * STREET ADDRESS: 1 1 1 V JA(-'.-'i`/u3A'1/4-0 * * CITY/STATE/ZIP: UCZ:CA0'A�ec, (,J.A ct9O'3-) * SUBDIVISION: * * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: _ , WATER DISTRICT: * * OWNER: 'Q�2� � �-Hc'(Z_`•_)(Z_`•_)t�r� PHONE: - - * * MAILING ADDRESS: \S 1 I t,- -)A LA.._,( R ,J. '4`c) * * CITY/STATE/ZIP: k„k(Z_sDA r i L...-.)A crtC, 6-A * * CONTACT: n :) - PHONE: S:1-1 -9 a B -'-I G8 Q * * SETBACKS: - FRONT_ LEFT: RIGHT: REAR: * * PERMIT USE: ,--5 1 D % c4_ I S'-'Vs * * x**************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: C„ lJ ALG da , * CONTRACTOR: Cr�-‘ ,in-,1 6c,-,--l r( c rCS PHONE: Ste; -cls?, - '-Ic�3(- * * MAILING ADDRESS: 3 O 4R9os„n`Z R * * 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: # HANDICAP: SEWER (Y/N) : HYDRANT: * X*******************************:t********************************************