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1988, 11-29 Permit App: 88003824 Wood Stove INFORMATION WORKSHEET PARCEL NUMBER: 2l c(3 6/0 Z-7 STREET ADDRESS: / 0<<)7 =r 7/-k ( CITY/STATE/ZIP: /-/,--1-, 1/,1-> )/ j f '2,2 /l,� ' SUBDIVISION: BLOCK: .. - LOT: — ZONE: k..q c DISTRICT: �DFLOT AREA: F/A: WIDTH: (0-6 DEPTH: i(2C) R/W: t(?.-- DF BUILDINGS: # OF DWELLINGS: 1 WATER DISTRICT: 7 OWNER: /(71 P�G[�:2��7-i fL1/t.0 D cfti PHONE: - - / ems_ I�,"a ,v, 7,/3 /-///a4.�, MAILING ADDRESS: 7(7 7()/ 4 T` C Iv,// i,C2r (l1) CITY/STATE/ZIP: �%-,/// -,V CONTACT: .1) _ ,,,--X-4,- �y _ ,,,/.'4 i /2_,/- l/�f/<!�j = l - PHONE: ?. �f- c271 7 Z c'< ; SETBACKS: - FRONT: LEFT: RIGHT: REAR: j PERMIT USE: � 1, 5 �d c ** **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: 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: Revised 1/88