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1989, 11-03 Permit App: 89004511 Reroof
tr✓ s __ s.'" INFORMATION_WORKSHEET .77-- •,.. 1. v PARCEL NUMBER: STREET ADDRESS: 16 Al j()(' ur t"• - - —— • CITY/STATE/SIP: fr4/Cc . .0 .,_ _. q6/2L - SUBDIVISION: _ BLOCK: - .- : LOT: ` ZONE: - DISTRICT: - LOT AREA: _ ` . . -F/A: WIDTH: _. DEPTH: R/W: # OF BUILDINGS: - # OF DWELLINGS: .WATER DISTRICT: --- - -- ' i; • OWNER: A%f //� C�1, ? PHONE: r;Z6,- -76 3;) MAILING ADDRESS: . c3 CITY/STATE/ZIP: CONTACT: ii, �i% G�',L4----1� d—w e/ , i CC__ PHONE:- -' • - 4*q•_ 1/ '7 SETBACKS: - FRONT: --. LEFT: RIGHT: --• REAR: -4_, ; ` Tri PERMIT USE: ( 1ZUL }k�, 1uG ).�J. 71 -- 4..-- -cite — ****************#*****fr****�*********it*****************fir********** ********# BUILDING INFORMATION - -. CONTRACTOR LICENSE NUMBER: r - C.c.( '2, CONTRACTOR: 9 , ,Q--- all` , PHONE: - �7- /"() l MAILING ADDRESS: ).�� •• .� . &"70-7 46) ix qq i e �7 l(J 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: