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1991, 10-14 Permit App: 91006799 Siding U�L0a ;kvr\ L?4-I`a`-I ,s-0 f4..'z = a g 00 *************************,1************************-************************** INFORMATION WORKSHEET * **************************************************************************** e)lop * PARCEL NUMBER . _ ',:a� a 4-1 STREET ADDRESS: g0:3 I\ iJkL6O * * o �A * CITY/STATE/ZIP: S� rc n�-, — * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT: * * OWNER: (ft 2-\ S tSjt c PHONE: S°9 -lag - (,„---cIr:), * * MAILING ADDRESS: SO 0 L‘ L(3,3 e. CITY/STATE/ZIP: ':5RNc/i.r,i %..JA q9 a0(.o * * CONTACT: t t _ PHONE: Sb`l -9%1_8 - 44to t3 c * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * PERMIT USE: -5\r:3_.-s,! s 1 * r************************************** c*'************************************ BUILDING INFORMATION * CONTRACTOR LICENSE NUMBER: MCL A' 3 3`4( ft `Z.- * CONTRACTOR: (--'t' &Ail ocv-rm-.0? S PHONE: SOGi -ci,.] - '4(02X, * * MAILING ADDRESS: J) 3) O(a A 20104 n f 20 * * 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. : * * tZEQUIRED PARKING: # HANDICAP: SEWER (YIN) : HYDRANT: * ****************************************************************************