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1987, 10-07 Permit App 87003382 Fire Damage Repair* INFORMATION WORKSHEET x*xx*xx*x*xx*x***xxxxx*****x**xx***xxxxxxx*xxx***x*xx*xx*****xx*x**xxx*** * Zed -. 6 x * PARCEL NUMBER: * * * * STREET ADDRESS: * x * CITY/STATE/ZIP- * * * SUBDIVISION: J(�L.��(P5+��-+ "p• * BLOCK: --- LOT: ZONE:_ DISTRICT: 4n * LOT AREA: F/A: WIDTH- DEPTH:�R/W: x * * # OF BUILDINGS: # OF DWELLINGS: * OWNER- PHONE: - - * MAILING ADDRESS:a x * * CITY/STATE/ZIP: x * * CONTACT- PHONE: - - * x * SETBACKS - FRONT: LEFT: RIGHT: REAR: x * - * A6 PERMIT USE: Cyt. (^ // ter /�-� �'// `- * * ***x*x******x*****xxxxxxxxxxxxx****x*xxxxxxxxxxxxxxx***xxxx********xxxxxx * BUILDING INFORMATION * * CONTRACTOR LICENSE NO.: �/�C��C _.' X7Q�X_tlrll * Zj'' CONTRACTOR: S/ C'Ur.�S// �c // PHONE * MAILING ADDRESS: * ARCHITECT/ENGINEER: PHONE: - - * * * MAILING ADDRESS: x * * NEW: REMODEL: --'h ADDITION: CHANGE OF USE: * * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: -= x * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. * x *REGUIRED PARKING: # HANDICAP: SEWER:(Y/N): HYDRANT: