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HomeMy WebLinkAboutBLD1999-00652J Opp 7-e- &s x 's qa 2�xok T+1 IV rry e,,.. ZZ' 8" c. e-,.� _M �_�..z-� ram„ r� � r� ram. e� r„� h-'l ► � e.2L: �� �--r� -�t � l g Z � . CZD 11 A'' i n ?2" ??Al ��Qx �o Jefferson County Permit Center * Department of Community Development ' , r , 621 Sheridan Street,Port Townsend WA 98368[3601379-4450 .3 a r 0 UnrVerSa 5 PI©fit EI gu 4e de h114€4,6e, &ale& as eaicflte4 crsa Acut e: Project Description: 4/177131-c-i-lep C--71.12.44--7—z://‘-kg/1--A.)0 / .*',/ ---72-,61-e-.06121‘)A-7 Le e 9 Digit Parcel Identification Number (from your tax statement): Z-i 63 3 ( Z Site Address 911#: zzo Road Name: 5‘fi1 tv G R D y Zip Code: v e 3 ? � Legal Description Subdivision Name: S 5-P t'_-r ,P -ram'' Block: Lot(s): 4 Section: o3 Township: ;.2..0 Range: / Parcel Size (acres or square footage): E, q 3 Property Owner: 0,5.f� Phone: Mailing Address: Applicant/ : Phone: (if different from owner) Lk) Mailing Address: Authorized Rep: Phone: Mailing Address: General Contractor: Or Manufactured Home Installer: ( t 1 s Phone: Mailing Address: y=- III 0 . , i s- rA Ciao Contractor's State License Number: Expiration Date: L , l 59 ®10 ;iv( cio Septic Designer: Phone: Mailing Address: Architect:/Engineer: Phone: Mailing Address: Loan Lender/General Phone: Contractor's Bond Holder: f Mailing Address: FOR ONF1CL USE ONLY Fire District: 3 Planning Area: tt, school District: k Zone: 4/98 H:\home\pincntr\forms\universal plot plan