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1989, 09-29 Permit App: 89003672 Reroof ), ,- - f _ w g rz • .. 5.`:-`. `z 24 t ' "1-- • r cam _ .-. sM INFORMATION WORKSHEET . 7;z7. .cti < ' 4 PARCEL NUMBER: ' �16b� -- ,z: STREET ADDRESS: E - '70/) I °t-r_ r FSS �- • CITY/STATS/ZIP: D I C�vL L1 [0(-- ,., SUBDIVISION: BLOCK: LOT: ZONE: - - DISTRICT: • . LOT AREA:'- F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: . . . # OF DWELLINGS: .WATER DISTRICT: • > - • • OWNER: C:0.14/yL. PHONE: - -Ca -/ - Do2-7'/ NAILING ADDRESS: -T - ". : 7jf // " , CITY/STATE/ZIP: 6po /,Ll'yAtc.Jggo2/a' CONTACT: QJ /I,� - �I d: -tc � O� c PHONE: - 77% it/(J -326.6- TI.('SETBACKS: - FRONT: -- LEFT: RIGHT: - REAR: - 49q• PERMIT USE: /41.01-1/J7-.) 7i — V ua',GLC(�`70v1/6 Jam **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: --(LA---- - �� /lie . CONTRACTOR: , F,AJ2)D — PHONE: - i ‘C - //70 MAILING ADDRESS: -V'0 r 6 , 37o 6po , tc)ct 9822& 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: