1988, 07-01 Permit App: 88001802 Insert INFORMATION WORKSHEET
PARCEL NUMBER: 205 1/-
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STREET ADDRESS: r�r / � / "1 V T
CITY/STATE/ZIP: � � KCf v�E W ! . ?
SUBDIVISION: ( /�(,U t V (�S cTy PL.
BLOCK: LOT: ZONE: 4S DISTRICT: E
LOT AREA: F/A: WIDTH: 76 DEPTH: /56 R/W: CO0
# OF BUIke
LDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: i r C - 1)/1 ca ; in cc,k PHONE: , c1 - 102 —
MAILING ADDRESS: ea �S cI
CITY/STATE/ZIP: tE`(-cLC ct)E_ c7C-.\
CONTACT: C v L \, PHONE: — —
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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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: