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-- INFORMATION WORKSHEET
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PARCEL NUMBER: c
STREET ADDRESS:
CITY/STATE/ZI-P: S arc.c-e-" 99,206
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SUBDIVISION:
BLOCK: LOT: ZONE:
LOT AREA• F/A: WIDTH:
DISTRICT•
DEPTH: R/W:
i OF BUILDINGS:_ i OF DWELLINGS:_ , WATER DISTRICT: __ '
OWNER: JJB'I,-.O r /JuA be,
PHONE: Ste_ 92-)_�l 79 i
MAILING ADDRESS: / r7 0 3 6z,&oj
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CITY/STATE/'LIP:_�hQ,t.2.� L{/r
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CONTACT:
PHONE:
SETBACKS: - FRONT: LEFT:_
RIGHT: REAR:_
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PERMIT USE:
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BUILDING
INFORMATION
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CONTRACTOR LICENSE NUMBER:
17?
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MAILING ADDRESS: L. JLO(a Unn
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ARCHITECT/ENGINEER:
PHONE:
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MAILING ADDRESS:
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NEW:_ REMODEL:_ ADDITION:_ CHANGE OF USE:_
DWELL UNITS:_ OCCUPANT LOAD:
BUILDING RGT: STORIES:
- R
BUILDING DIMENSIONS: K
(WIDTH K DEPTH) SQ. FT.-
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REQUIRED PARKING: i HANDICAP:
SEWER (YIN).HYDRANT:
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