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,'.�� �.,:�. CITY OF DIAMOND BAR
DEPARTMENT OFCOI UNITY & DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765
PRESS
(909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027 FIRMLY
° BUILDING PERMIT APPLICATION
JOB SITE ADDRESS as i tqk n) a L et%
APN _ LOT TRACT
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OWNER -- NAI�Pr 42V
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APPLICANT — _....,���OfK TEL
CONTRACTOR
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ARCFVENGIDESiGNER
ADDRESS
CITY ZIP TEL
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5 NNE DATE
APPLICATION DATE b `���t�^ JI I y P/C#
ISSUE DATE tl -' hL e'9r PERMITR t L_.""_ `
TYPECONST 10l14 y OCCGROUP
ZONING SETBACKS
FRONT RW ❑
REAR ❑
SIDEISIDE STREET Rl ❑_
SIDE ❑
PROPOSED USE .....
N DWEL UNITS A STORIES A BEDROOMS
DESCRIPTION
SO FT
FACTOR PSF
ADJ AREANALUATION
SFRtADWREM
GaraOefGaPON
....................
0
W'
: Patio/Dock
—...
W
Pool/Spa
2
Re Rod
M
m
Valuation Adj Area
OuANTRY
DESCRIPTION
FEE
Ui
n
CONSTRUCTION ...
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL
INSPECTION FEE
ISSUANCE
SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE
PRE-ALT FEE
BSAF
r
TOTAL FEES
COMMENTS
.. ...
RECEIKa JOY J y PAID BY^' Ljj 1'I" VAJ,JDXL10N
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