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1992, 07-16 Permit App 92005391 Siding, Fascia14513• ti2o5 e_4 6 02, 3cl/t (05-1-1,00 I V6 iis70 *************************************************************************** * INFORMATION WORKSHEET ********************z******************************************************* * * * * * * * * * * * * * * * * * * * * * * * * PARCEL NUMBER: STREET ADDRESS: t= t(-,`3OS 2aA w CITY/STATE/ZIP: Occa-P, t.JA c7n 3-7 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: . WATER DISTRICT: OWNER: MAILING ADDRESS: rl qm r (1. E 1.cp80s PHONE : - Gi aCo - Spa "3 CITY/STATE/ZIP: OteAy-),orc.rt. 941v3-1 CONTACT: Jc PHONE: - - (0 ? SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 5 i o 15 * *************************A***********:t************************************* BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: 1-(G ,2AfrA 6c 3c.i, 1'(.t_ * CONTRACTOR: G wFl-,i 8 2% r1-2S PHONE: 5o9 - Q a-s - -4 6 S G * -t31O<z 'MAILING ADDRESS: ' " "6= QP_-.> * * 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: •******************z*********************************************************