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1989, 05-16 Permit App: 89001294 Siding - /? Y **************************************************************************** INFORMATION WORKSHEET * **************************************************************************** PARCEL NUMBER: /Z 6-17// - 67 Y4 * STREET ADDRESS: fl , /DU 4 (a'a m.7,40l r,'l,1 * * CITY/STATE/ZIP: 4inea/ki /4 9q -06::. * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: * * OWNER: n•-wChQ-t.I )-. 3CI�-� 1( 2 _ PHONE: .01 - 9�V - 37a8 * * MAILING ADDRESS: 1/1 , i0 0 4 (/();16-7.. - iezad * CITY/STATE/ZIP: )./,),(4.,g4(11 (-()A qqa,c6 * CONTACT: PHONE: - - * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * /' / �' � f A, * / PERMIT USE: 7l,e �X l�v,( 1 ` * k**************************************************************************** BUILDING INFORMATION * 2 * CONTRACTOR LICENSE NUMBER: /`)6,(;/ �/3(.,3L/ inc * * CONTRACTOR: aim/.(Ltl St Ml kw- PHONE: V - 9-) -W Y4 * MAILING ADDRESS: Y1 , 3/()4 AijDnRi_ Rd- 5poLaKed WA qa/? * * 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: * ************************************************** * ************r *********** V ccatQfrori-- A LJ709.m ? -&© 3 . ,-� 13 .1 rn.cf-F-,eJ -- 75.