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1987, 03-03 Permit App: 87000481 Garage• INFORMATION WCRKSHEET * * GENERAL INFORMATION ig I * * I * * PARCEL NUMBEF: 0 . /ti/—o gas ___ * * IC _T �J * * STRgET PURE S. C f4/Gk 9� /Zv" * ** * GIT /STATE/ZIP:__-r e./Wm.*, GJ S. n,706 • * SU CIVISIG N':____P hc%v09d �GY rJ _� n * 1 * * BLOCK:__21_ LOT:__y___ ZCNE:_ _ CISTRICT#:______ * * 1 1* * LOT AREA:_ F/A: WIDTH:_i, __ DEPTH: 326, R/W: Coo* * 1 * *( # CF PLCGS: 3 # CF DWELLINGS: t * * GWNER:_-_D--rF-__tiefi"_+.£.ean FHCNE :co t-`Ja, -S/ * * * MAIL LNG ADDRESS: . /a/Of •fr?'a-.1v••• * * 1 * * CI-0/STATE/ZIP:_-_.32261'"`- ..t/t jPlr7 a't * I / x * CONTACT: FHCNE: * * I 1 n_i + * 2)i SETBACKS - FRCNT r LEFT �5/ RIGHT REAR ___ * PERMIT LSE: C.. C � 4 * * -_N _F_O_R_M * CONTR LIC#.__1 A4i4S Ti3J6'ft-K * * * CONRACTCR:_S /z-Fr_a'T<Yrtz_21,c PHCNE:10--frib-ZOO2* *� * x MAIL NG AGGRESS: 31-:S�ilid v7('r r_ Spey, r+• fr1 _±.7.7_,2a * * 1 / * * FHCNE:____ ____ * * i* * MA1L NG ADORES.: * * * * * i NEW:,X REMODEL:__ a DDTTION:__ CHANGE CF USE: * * 1 * * DWELT; UNITS: OCCUPANT LGAC:____ DUILDING HGT:____ STCRIES:_af _ * * BUIL[ING DIMENSICNS:_sitt x_ar (WIDTH X DEPTH) SCIARE FEET:%8'te_ * * * * REQUIRED PARKING:__— #HANDICAP:_SEWER (Y/N1:___ HYDRANT (V/N):__ * * * ****** *************** ****#� [###*#+k###x#*****#*****#*i###**************** •a g. is *********a****$$********4**************0***44 4**444*******aaa#a**,*44*4xa*****- * MOBILE FCNE INFCRNATI N * * CONTR LICA: * * * CONTRACTOR: PHCNE:____ __-___ * * T a * MAILING ACCRESS:�__ * * ' * PREVIOLS ADDRESS: * * LOCATION: F,4ICEl 151LNBER:g * * * STREET: * * * * CITY/STATE/ZIP:_ a * * a MAKE: NCDEL:______ * a * * SERIALA:,t EIDTlj:,_, LENCIF:__,_ * * 4****aa*444*444*4*4444*444*»*****#4**a***C***e*****,a*a**.a******************** * RELCCATICN INFCRNATI N * 4 CONTR LIC/:w * 4 * * CONTRACTOR:____ __ FhCNE:____ ___ ___ * * 1 * * MAILING ADDRESS: * * PREVIOUS ACDPESS: * 4 LCCATICN: PARCEL NUNEER: * _ ____ * * STREET: �j' _— — * Y * * CITY/STATE/ZIP: { .�. * * , 4**a****4***Sa'%*4**t4***4*»444*****»*»»*444ea**#»4»»*444**»»*4»4444»»*****4** * SIGN INFCFUATICN * * CONTR (ACP: _ ** * * CONTRACTOR: ____—__ FFCNE:____ __ ___ 4 * * * HAILING ADDRESS: * * a * SQUARE FOOTAGE:_____ POLE -EI HT: * * * 4 * *****4**44**444***********4*****4****4*****»,*#»»***»** * DEMCLIIICN INFCFNATIC * CUNTR LICA: * * CONTRACTOR: _—__ FFCNE:__ _— 4* 4 * * MAILING ADDRESS: * * BUILCING SCUARE FOCTACE: * * NUMBER CF BUILDINGS:__ * * * **4***4*4*******ass*****s*******L*4*******a* **4444***»444*4*4*s*»**a4a**m4a4* { 1 Sok 13 Soh) E loIocdb4,3119`' yot. 1.�A wN151 222 00E2 as at` 1-0 4117a -- H. 0 {Y\ r