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HomeMy WebLinkAbout27757CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES 21825 Copley Drive, Diamond Bar, CA 91765 (909) 939-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 DRESS *" BUILDING PERMIT APPLICATION FIRMLY JOSSR'E ADDRESS,)e 2 ,SS '' S OWNERSSA/C�T� ADDRESS �............_- CITY ZIP TEL APPLICANT TEL CONTRACTOR kit., ADDRESS- .' +1 CITY Z.ly.a--f" � �" �i C�fJr ARSIGNER �-}per DESIGNER � I Wff 1;qT ADDRESS CITY _.. ZIP TEL OWNER &RUTER DECLARATION I HEREBY VRAM UNDER PENALTY OF PEA.URY THAT I w EXEHPf OttRi THE ODNDLACITIM LF CENSE UWFORTHE FOLLOWING ROI404(SEC 70I F HUSNEIISt PROFESS"I COOP ANY OWOR COJNTTWHRH1 REOUREH APERMITTOCON MV ALTER NPROVE DERCURPH ORREPAIAANYSTRJ6 TURF. 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