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1991, 05-14 Permit App: 91002249 Reroof .; INFORMATION WORKSHEET PARCEL NUMBER: 4.23-3-%V " /v497 9 0702 5/9 STREET ADDRESS: / 4-/ 7.5 / . CITY/STATE/ZIP: IdLk ) (,( ��- -19 03 7 SUBDIVISION: � . e10/ BLOCK: `tY= LOT:__ ZONE: i DISTRICT: LOT AREA: __ F/A: WIDTH: DEPTH: # OF BUILDINGS: - . . # OF DWELLINGS: WATER DISTRICT: : OWNER: maw.. /f 0-eLL PHONE: S(/ - 9(2�' —7 (-/9 MAILING ADDRESS: : / 7 7D -- CITY/STATE/ZIP: l/.IMCe)a - 9 () 3 7 CONTACT: "- - . PHONE:- - • 7 - SETBACKS: - FRONT: ._- LEFT: RIGHT: - -- REAR: • PERMIT USE. 0 (A6(41(e9‘--71 2q17 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: ,,,_ - /I R— cSi 3 7 7 ,4) / . CONTRACTOR: jQ .,4-- # f MAILING ADDRESS: 496 570.7 L_�c�P / W 1 7 9( <3-o 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: 4 HANDICAP: SEWER (Y/N) : HYDRANT: A)-o-C-e-L, K3-�