1988, 05-26 Permit App: 88001323 MH - -- - �-
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INFORMATION WORKSHEET
PARCEL NUMBER: 5—/321?
STREET ADDRESS: T i (PW'�RP V , t y' (;t v� t
CITY/STATE/ZIP: G C 12s s Cu. Fl SD (
SUBDIVISION: PA i� kfrr,) (C
BLOCK: Z LOT: e ZONE: alb- DISTRICT: Cg-
LOT AREA: F/A: WIDTH: -7g DEPTH: i 6- R/W:
# OF BUILDINGS: I # OF DWELLINGS: ( WATER DISTRICT:
OWNER: 0,, I( ',e5 i L t21 PHONE: 5-0"9 - of-za" - � J 2
MAILING ADDRESS: r13 4 ( Li ► L( LI
CITY/STATE/ZIP: S� ,+i-+/ Y'O
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: 4-k) RIGHT: IC REAR:
i81,40(a /ass K rT
PERMIT USE: f 0V)I Lt C rw 1. N4r1,0 TRCIA-1- OAKS
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
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: