1993, 10-12 Permit App: 93009636 Siding, Soffit, Fascia I OZ� Ft-e- 151.e(( r
INFORMATION WORKSHEET *
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PARCEL NUMBER:
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STREET ADDRESS: 7S(tiW S ___)- 1 k ,' *
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CITY/STATE/ZIP: C1--,G`.-w�c ' )i Clci Z *
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SUBDIVISION:
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BLOCK: LOT: ZONE: DISTRICT: *
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LOT AREA: F/A: WIDTH: DEPTH: R/W: *
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# OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT: *
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OWNER: LiLI.N VN`- k�.;ti,.,_;C,N PHONE: -c1Z6.- - 94(L/ *
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MAILING ADDRESS: %(JC -( S lv \o (.( *
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CITY/STATE/ZIP: C�?() \<w�-c ,/t.)+\ Sei 2_6.4 *
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CONTACT: PHONE: - - *
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SETBACKS: - FRONT: LEFT: RIGHT: REAR: *
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PERMIT USE: S .` -,-,3 ' S()(C. -t (cc_ c i 41
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BUILDING INFORMATION *
CONTRACTOR LICENSE NUMBER: (- L''il4 l/ (S C 3\-((G ('---1 C-' MC v44 B 3q6 ,",E *
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CONTRACTOR: .-Y\(._ .( `/ ' PHONE: -`i Ze) - f(r *
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MAILING ADDRESS: j
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ARCHITECT/ENGINEER: N! 1k PHONE: - - *
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MAILING ADDRESS: N IA *
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NEW: REMODEL: ADDITION: CHANGE OF USE:
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DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: *
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BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FI. : *
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REQUIRED PARKING: 1 HANDICAP: SEWER (Y/N) : HYDRANT: *
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