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1987, 09-29 Permit App: 87003228 Siding **********************************3 .0*************************************** INFORMATION WORKSHEET 512.2S * **************************************************************************** / * PARCEL NUMBER: ©3542- 0305 * STREET ADDRESS: )1 , 4/05 vttth f i * CITY/STATE/ZIP: ,> k_dAt-P, L�,I 9q,),/6 * * SUBDIVISION: STCV l CK * * BLOCK: LOT: 5 ZONE: AG-11 4 DISTRICT: * LOT AREA: F/A: P� WIDTH: 625 DEPTH: / $3 R/W: 420 * # OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: * / * Fz OWNER: .ea F -�t.aoG�-- PHONE: FO / - ' - * MAILING ADDRESS: 71 , /7/05 V- --C L't- ' * . * l CITY/STATE/ZIP: /c-�/(.-�, £ A qqa/6 * * CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: -L� d .x q J 4f/tit v (,)!%.. * x**************************************************************************** BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: /9"1 C'C//4 SSU `7`4/T- CONTRACTOR: A /(GU a LO PHONE: - - * MAILING ADDRESS: )i , 3`66. Cit ( GIGO-11/X,e1. 0`-644 qQ)/°2---- * * 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: * **************************************************** *********************** l -- Vat�af) ' 972x etc --t F-eP -- 4fr .-7.L