1987, 04-03 Permit App: 87000701 Residence * r INFORMATION WORKSHEET
* *
* ;1(„o, 2 - 160 5
* PARCEL NUMBER:
*
* STREET ADDRESS: I:+ I`CS3dT"x < _ "
* CITY/STATE/ZIP: ,.....A- 9R 2`-0-7
* SUBDIVISION: ( . 451 ADON *
* *
* BLOCK: 1 LOT: 10 ZONE: - 1 DISTRICT: *
* 1 *
1
* LOT AREA: F/A: WIDTH: OU DEPTH: 1341 R/W: *
* # OF BUILDINGS: # OF DWELLINGS: *
* OWNER: KtoST C Q�
u) . --akL.S PHONE: 4e6-b$C3
** MAILING ADDRESS: 334 tL
.o
*
y* CITY/STATE/ZIP ,.c.lcitv,h� (.n--�-} 9 i *G'
AtN{ttt(A•thtt2Wtilgit.4?tititttit;t i 4 4tti 1 1 Y!4 41+,M/140%A;".'t^Zt tkY't'it1t 111./'A�l;tf!X'�t3Htktitf*4'1,{+4 4 1 inti*'t!S1t;I:i;stttlt%h't''1ai+US4 4ntk4t+t+*W4 SK +It%44, 4;4•%4titf!tts1tt toir+,• i.:a.t'i>ttiy.5+44;t++t`.'.thMZk •2+1.i'.
* CONTACT: 'TCCr.� PHONE: -$U0- 6%13
* *
* SETBACKS - FRONT:'` LEFT: RIGHT: 1' REAR: *
* *
* PERMIT USE: P.VSt (,,ta' Wl G 01.b e' *
* *
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* BUILDING INFORMATION *
* *
* K *
* CONTRACTOR LICENSE NO. : #loS1t� 1�bD A
* CONTRACTOR: \4oSTEILE J im,v .S PHONE: -94- la 13
* *
* MAILING ADDRESS: N • 11-01-4 E .�c.k_. Q-t-
* *
* ARCHITECT/ENGINEER: ".IIr.? . PHONE: - - *
* *
* MAILING ADDRESS: *
* *
* NEW:JC REMODEL: ADDITION: CHANGE OF USE: *
* *
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: *
* *
* BUILDING DIMENSIONS: 41 x 1. (WIDTH X DEPTH) SQ. FT. *
* *
*REQUIRED PARKING: • HANDICAP: SEWER: (YIN) : HYDRANT: *
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