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1990, 03-21 Permit App 90000992 Siding, Soffit, FasciaINFORMATION WORKSHEET **************************************************************************** * PARCEL NUMBER: j� CJ c7 52 ( - 0 * STREET ADDRESS: L , - 710-f�%'Z€ a K-a-- * 7�I �i ** CITY/STATE/ZIP: _Y'�-() k. , 7-e9 0jA % 9 / * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: ,WATER DISTRICT: OWNER: ('iahX A • /71; l—Qh-G -- PHONE: 62) ci - %.2 - /6 d` % * * MAILING ADDRESS: . 7 71 0 2--PL , P_Q-- * CITY/STATE/ZIP: ..,D /{.(,c. / , (�% i A -� /* 1111 * CONTACT: PHONE: -- * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * * PERMIT USE: Sid:,K j )F�?t emu_ * * **************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: MC (JA4 Y6G 34/6 /7)6 * CONTRACTOR : M G- 0 0J f 6. 11D 4,e4"-5 PHONE : GI - - MAILING ADDRESS: / v , // () (2 / onac, /CCX ta,,, 014 * 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: ************************************************* *************************** V at-La-17 5372 4-7 � I pc)