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1987, 06-10 Permit App: 87001708 AC ******4***4*'''' . . 4*******************************************4 ***4***4444444 * INEORMATICN WCRKSHEET * **************s0******** ****************************44*****o****s********x **- * GENERAL INFGRNATICN * PARCEL NUMtZ.EF : PO4 \ * * * STREET ACCRESS :__h_ /LP Ji 8 * * * CtTY/STATE/Z IP :__ y�1_1 �1 11a j1 ao 6 --- * sun IV I S ICN : oN7 YN% js?IS�r ( - A-Op ° - 6pP -- * ` * * tiLC'CK :__ 1 ___ LOT : LCNE :_ _ * LOT AREA : F /A : WIDTH : DEPT!- : R/M : Y * CF ?LCCS : CF DWELLINGS : * OWNER --- -Q -L-1i"-__ _a T ii' FF-CNE : -�� b -_7aJ * * MAILING ADDRESS : 1�J1� ___wLJ-_t Uj3_J_D A .12 -- * CI 7Y/STATE/ZIP :_-- i�3_L�t_ __ �/��___— D G -7 J * CONTACT : b 2h_ f Gtr C eti FHCNE : `---- 31{- /y7•s-"* * SETEACKS - FRCNT LEFT RIGHT FEAR * * PERMIT ERMITLS y*********K**4ttY Y*t****** ***yy***y******Y-**************y****y*****jTT******yy* 4************4 t# Y#*♦****4***4************************************************T * PLL'NEING INFCRMATION * CONTR LIC# : * * CONTRACTCR s * MAILING ACCFESS :___ * s*******4* *** 44x44**************************************************M4****** * MECF-AN ICAL INFORMATION * CON TR L IC# :__ L_o G p ZL__2.7'1z,CZ Z`_ * * * CONTRACTOR =--�� C� Pt-C N E * MAILING ADCRESS :_ ,c p / * ELECTRIC:__ nGAS : CIL:_ CCAL:_ WOOD:___ SCLAR:___ 1-EAT FUMP:___ 4****************44*************************************4******i***4441*#i4***** D9