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1989, 09-29 Permit App: 89003688 Reroof
. i "j," :,. x ---4,. iii.'" INFORMATION.WORKSHEET _.- - _ PARCEL NUMBER: '.2SYV. .-_ . . 4 . S . .' *.4 J. / STREET ADDRESS: /3 f /V )-j � -.t':,'- r3: .:a` r"4..•. CITY/STATE/ZIP: () K(1,,Y lJ? �/V,g. qq2 7a '`f. SUBDIVISION: BLOCK: LOT: ZONE: - DISTRICT: - LOT AREA: - ..._ . F/A: WIDTH: /4e DEPTH: 4zi,4 R/W: -0 # OF BUILDINGS: . # OFDWELLINGS: / .WATER DISTRICT: • - b)--al--L.OWNER: 0/z4L-Z'-d-?ham PHONE: .- 9,2 - (P� s ,, ...1 `-w � �" C} ••t r_ 7v' _ ',-I':,2:1","";:." "..17.1;.: ,2 . MAILING ADDRESS: . ^e. `- ( 3 !_ /--"D".� ' .. ..___. . - ._•r CITY/STATE/ZIP: D/-1 � �/.k2I ,, _ 1.�1 n -i/C,7 6v,- CONTACT: - PHONE:- _. ` y i i-7 o SETBACKS: - FRONT: --- LEFT: RIGHT: REAR: i 2_0 PERMIT USE: LC i , UAV l}(41 4 � 3 410 7 **************************************************************fir************* BUILDING INFORMATION -- ,. Og U° t CONTRACTOR LICENSE NUMBER: ; --Gli(�- „ - -)- t�Sv- CONTRACTOR: ;(`Cf ), - ,I I PHONE: /- /70 MAILING ADDRESS: JD -a , 370 - L ' 5GO ARCHITECT/ENGINEER: - - PHONE: - - - MAILING ADDRESS: w 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: