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1988, 11-21 Permit App: 88003765 Remodel INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: /P,7>/ t 6( r c71 CC ri CITY/STATE/ZIP: Jew ke_ c? 12 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER- C2f' 1 a i�lP c 1-4:7 fI/ 1 —>i4 ( L:1 ,c)I PHONE: JU7 - S.' - MAILING ADDRESS: I S3/ a C{,r��` CITY/STATE/ZIP: kC /7 L u- ,TA (%q 2( Z_-. CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ****************************************************************************** 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: D cc; 7 1 /QQ