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1991, 08-06 Permit App: 91004771 Siding
• • �Ja�UATi� — l�i2o�o F4Y 11`i,34 rtffiffiff Xf Xff Rt XifiXf Yt*.:X4fiRf XXf Rff RRXif Xfif ff XflXt Rktf RXftRf Xiff Xti RRiff X INFORMATI[7N WORKSHEET ttYtf*ffXtYfRf Xff Xitf XiRXXiif Xff tf XRif YRiffif RXiffftXf RRffkifkkfiffiffttifff PARCEL NUMBER: STREET ADDRESS: 13 31 1 E 1 0 CITY/STATE/ZZP: SUBDIVISION: BLOCK• LOT- U ZONE: DISTRICT: X LOT AREA: F/A:WIDTH:_ ..__ DEPTH:__ R/W: X X jj OF BUILDINGS:_ Y OF DWELLINGS:_ WATER DISTRICT: i OWNER• on�a�Ci ST4 -.�R�T PHONE:cf�- i X MAILING ADDRESS: X CITY/STATE/ZIP: vii c1921� R X CONTACT: ST,JS PHONE: X SETBACKS: - FRONT: LEFT: RIGHT:_ REAR:_ PERMIT USE: *ftt***ffY*ft*!tY*tRfltttA*fX*ttXt*ttX'lfftttt*tttftXtRttttftttftt RtttRt RtRtt tR�t**!*kRRklf Yff Rikkfi R*****fflfff*ff*ffiRff****!*f!*k**tttfi*tfYffiRRRf ffif Rfi* BUILDING INFORMATION f CONTRACTOR LICENSE NUMBER: "L JAt BC '3�-I� Vh`t CONTRACTOR: HC (AL -i bL,)n i? 5 PHONE: X MAILING ADDRESS: ef (-A �9aia* Y ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: V ADDITION:_ CHANGE OF USE:_ * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:_ * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: _ * RBl,)L/IRl>D PARKING: 9 HF.NDICAP:_ — SEWER (YIN): HYDRANT: tR�t**!*kRRklf Yff Rikkfi R*****fflfff*ff*ffiRff****!*f!*k**tttfi*tfYffiRRRf ffif Rfi*