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1987, 07-10 Permit App: 87002124 Addition , ****************************************************************************** * INFORMATION WORKSHEET * ****************************************************************************** * PARCEL NUMBER: 'eS 20 ' i c 3 * * * STREET ADDRESS: * * * * CITY/STATE/ZIP: * * * ` � * SUBDIVISION: SKS V t W klillfr . * * * * BLOCK: IC LOT: <7.,; ZONE: k4 DISTRICT: * * * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * * # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: * * OWNER: ?Ober!' r r)e / J PHONE: - - * * • MAILING ADDRESS: 3. RJ o3 W 1/,&U h isd. *CONTACT: r CO()Ti9'V PHONE 1 ,7* CITY/STATE/ZIP: O �� &J�� / Wf}3 * * B/1/ SCU/kC S -02- ?.....3/0 * * * SETBACKS: —FRONT: LEFT: RIGHT: REAR: * * * * PERMIT USE: * * * BUILDING INFORMATION / Z 47/47 * * * CONTRACTOR LICENSE NUMBER: (CQ /1 /�C, 4'� * * CONTRACTOR: eiz xt fIC PHONE: -94'-, 0 F3� * * MAILING ADDRESS:`L7L7( ) / s C,/f�61X- 10 * * * ARCHITECT/ENGINEER: PHONE: - - * * * * MAILING ADDRESS: * * * * NEW: REMODEL: 'ADDITION: CHANGE OF USE: * * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * * BUILDING DIMENSIONS:p2 ( X o2.Q) (WIDTH X DEPTH) SQ. FT. : is9() * * * REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: * ****************************************************************************** I. 1 ist 0 /4