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1989, 02-13 Permit App: 89000293 Repair Fire Damage
F INFORMATION WORKSHEET , / I UQ'" ca PARCEL NUMBER: / e7 u STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: /,/ f % 41c4„712 BLOCK: / LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: //# OF DWELLINGS: WATER DISTRICT:q OWNER: �LAI{6 �L ( 1 CTS 0/1/ PHONE: AUS - (.27 - MAILING ADDRESS: 6 11674. ! �` CITY/STATE/ZIP: Spd, i1✓1./C • CONTACT: 37/1.t S l CI 6 '� - PHONE: 5-d / _- -� - 7 3. SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: * ************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: A7/42/70 .-/ A6/194U CONTRACTOR: / 1 pFLL CG.,,t-S 6/&Z4 G I ID✓u/ PHONE: C05 - 413O 0 MAILING ADDRESS: ,4/S`7O ? /7244,e6/ 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: