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1987, 12-08 Permit App: 87004140 Siding v. **********************2****************************************************** INFORMATION WORKSHEET * **************************************************************************** * PARCEL NUMBER: / 5113 'Cgo 2 * J ` * C STREET ADDRESS: C CZ, / &/04l!G(-C_,vf cT -, * CITY/STATE/ZIP: Jp.ok:apu, LJ4 9 1037 ` I SUBDIVISION: V5t A * /p� BLOCK: LOT: ZONE: A04 DISTRICT: * * LOT AREA: F/A: WIDTH: ItO DEPTH: R/W: # OF BUILDINGS: * OF DWELLINGS: , WATER DISTRICT: OWNER: Q LUL) ,--21 a(inin.cyrtC/hGz PHONE: 6-0q — 926 - .5-,76r? * MAILING ADDRESS: C- 7& /047 V C-L , w a_.( 4 CITY/STATE/ZIP: ICC;C,x Or (A4 q q,037 * * CONTACT: PHONE: - - _ * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: :-P't,AC't4� y 1 ,f F «G 6 * c**************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: Th( V4 �-,)/(-.tet&T E * 2a , ,viut-tD PHONE: eq - Q:2 g -`6 i4 * CONTRACTOR: �(I �, g * MAILING ADDRESS: ),"q , ,.---;,/,, ,,ziale,"- 4,,4 kC q qb2/2- ARCHITECT/ENGINEER: - ARCHITECT/ENGINEER: PHONE: - - * * MAILING ADDRESS: * * NEW: REMODEL: ADDITION: CHANGE OF USE: * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * BUILDING DIMENSIONS:- X (WID`T'H X DEPTH) SQ. FT. : * * REQUIRED PARKING: I HANDICAP: SEWER (Y/N) : HYDRANT: * **************************************************************************** (,/a_ta l76,7) — 4 '3D7, do Pi,touArte-- f//, 5O