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1992, 11-02 Permit App 92009583 Reroof9a 983 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: SIIBDIVISIOlf. . BLOCK: IAT: LOT AREA: F/A: "WA:i m --DISTRICT: WIDTH: DEPTH: R/W: $ OF BUILDJINGS: • # OF DWEL=GS: OWNER: fV(Q ifs l �d,�-PJ MAILING ADDRESS CITY/STATE/ZIP: CONTACT: WATER DISTRICT: PHONE: PHONE' SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 1 k*fr##*A�tf♦atf#f**t!li,tstwatsr*#si*if+,tt,ttt,tsr,t*�F*,t*#,t+t,t,t fr,t atlat!*,tt,t#:,tttt*t*i r,t: .BUILDING INFORMATION CONTRACTOR LI:7ENNSE CONTRACTOR:-s?/��SLIA�t O. L / PH/�/ON�E, : �-/'�-e_ MAILING ADDRESS: PO 3� D % �_f1 29 m C i �C J Q / 1 pac�� ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: � ADDITION DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: % PHONE:, CHANGE OF USE: BUILDING HGT: STORIES: (WIDTH % DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: \ \ f IDn CL _ k \ƒ§ ) \ /z m> , / (( I \ © �§ \ \ K: �\ � < \j §,2 ^ t >mc 30 o a ® Z!2 \ \ MX \ \ § K §10 m�� mi _ ( ( `° % f t \ \