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1988, 10-18 Permit App: 88003286 Remodel INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: :)0 S5C&.rc1`37r1 CITY/STATE/ZIP: `'161 › SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: % OF BUILDINGS:0 t # OF DWELLINGS: C ) I WATER DISTRICT: owNER: C, , 1, (l arc1 PHONE: 5QM - .5 - 197_0 MAILING ADDRESS: CJ n \ )OI ,rC c ,� CITY/STATE/ZIP: 2� i1 rl� UJ c19 2-1 CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: r***************************************************************************** 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 (YIN) : HYDRANT: