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1987, 09-17 Permit App: 87003070 Garage ti * s INFORMATION WORKSHEET * ************************************************************************* * * .3 ( (L � 3 1 jv/, * * PARCEL NUMBER: '-' * STREET ADDRESS: /v < /C 6_ , Cda h a4 * * CITY/STATE/ZIP: S/o 6 ( !.(/ kl * 6 IN/11'0°1f 7-14 * * SUBDIVISION: W (It.- S (,rf * * * * BLOCK: / LOT: /,Z ZONE: DISTRICT: * * * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * f * * # OF BUILDINGS: # OF DWELLINGS: * * OWNER: C=-"hV A) & 0 C S PHONE: c1, 4 00 6� * * * * MAILING ADDRESS: * * * * CITY/STATE/ZIP: * * * * CONTACT: PHONE: - - * * * * SETBACKS - FRONT: LEFT: RIGHT: REAR: * * * PERMIT USE: - Tr C'9 CAW1Vsq; * * * ************************************************************************* * BUILDING INFORMATION * * CONTRACTOR LICENSE NO. : b' © ! /.6 67( /".70. 0 6 * CONTRACTOR: /77©41.t S G 1'CA o Cirpf PHONE:?, r r/ * * MAILING ADDRESS: /03 ( G / C4.4-7J * * * * 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: * ************************************************************************* * NGnILE FCrE INFCRNATICN * CCNTR LIC# : * * CONTRACTOR : PHCNE : — - * * * * MAILING ACCRESS : * PREVICLS ADDRESS : * * LOCATION : PARCEL NLNeER : * STREET : * x * CITY/STATE/ZIP :_ * * * MAKE : NCDE L : __ x * s k * SEP IAL k :_ * y�l y { I ♦ + y y / y y y L y y A A } }y { L y } y y y y y } y y y y y {W J y y / Yy *****K Y 1 Y 4 4 4 4 4 4* 1 1 4 1 4 4 4**T**********T T* *Y********Y******T Y ******* ********* * RELCCATICN INFCRNATICN * * CONTR LIC# : * CONTRACTOR : __-- FECNE:____ _ _--- * * 4 * MAILING AJCRESS : * * PREVIOUS ACDRESS : _ * * * * LCCATICN :___ _ PARCEL NUNBER:_ * STREET : * * CITY/STATE/ZIP : * y l / { y y { y y y y A y { y y y y y y y+y y y y y } y ***T****4*1 1 4 4 4 1*4 ♦ 4*************************************************. *******T* * :IGF` INFCPNATICN * * CONTR LIC # :__ * CONTRACTOR :---- ------ ------ FFCf E:____— * * MAILING ADDRESS : * * * * SGUARE FOOTAGE:__ _ POLE F-EIGHT : _ * * * * ****** ******4444***********#4************************#44***#*****####********* * OEMCLITICKINFCRNATICN * CONTR L ICH:_ * * CONTRACTOR =—_-- ---_----- —__---- FICHE: * MAILING ADDRESS : * BUILCING SCUARE FOCTACE: * # NUMBER CF BUILDINGS: _ * * . * *****************************************,************************************* T--'TT' , i __' /�— _ . I• & f.- r 1 i p(iCPd, • } •-+ -�.__ _.,. -.___ _ -• _ '- . .. 1 1 \ --t- -_ --- - . . . f , f 1 . - - r1 /ers...... . . ft . _ 1 I { .-- .tet ._ _---- ---_. - ___ 1 --•--+--t--•-+ +-- . L r. - _ _ - -_-1 -,_ ' - -- it1 , , �� dor I� , �3� ►�-� - = Ai . 1 I '-� -_..---` , ---_. . . _ _ . - _ -