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1987, 11-10 Permit App: 87003865 MH t� q 2.9D7/0 07 ************************************************************************ * INFORMATION WORKSHEET ********************,***************************************************** gi- 3 ,s6c-- 115.c- 3 - zt) * * PARCEL NUMBER: a /7�0 * STREET ADDRESS: R 10 1/A1( - * * * CITY/STATE/ZIP: Gamy, Ae ke * r * SUBDIVISION: /M ICA Gr ie. fArK PUP S ✓Yl O6vue. P ADD. * * * * BLOCK: 1, LOT: 9 ZONE: DISTRICT: * * * LOT AREA: F/A: WIDTH: 4`st.:et DEPTH: Be, 1S R/W: * * * # OF BUILDINGS: 4 OF DWELLINGS: * * * OWNER: ‘'}vv,,_,- y PHONE: q2 - 6/8/ * * MAILING ADDRESS: /? / 0 E. k * * * CITY/STATE/ZIP: * * * CONTACT: PHONE: - - * * SETBACKS - FRONT: LEFT: RIGHT: REAR: * PERMIT USE: 2 ' X 44 rn O (( h—OE 8-7 mioN'?/ * * ************************************************************************* * BUILDING INFORMATION * * * * * CONTRACTOR LICENSE NO. : * * * 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: * *************************************************************************