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P.O. BOX 1504 No. 003263
Building 78-105 CALLE ESTADO
Address 54-873 Inverness LA QUINTA, CALIFORNIA 92253
Owner _ ._..
Mailing
Address 75-005 Country Club Drive
City Zip lTel..Palm Reser 9226568-:
Contractor
14a' bona. Nor�tcrace & Loan
Address
City lZip .Tel..
BUIL•DING:.TYPE CONST. OCC: GRP.-
A.P: Number PGA 'fest
28 Legal Description
Project Description Phase 22$f_ Pla21311* R
State Lic.
& Claif.. 288130 I
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c. # 328 _ : _ . ,Sq. Ft., .AWG .3054 No... .
Arch., Engr: