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CITY OF DIAMOND BAR
wDEPARTMENT OF COMMUNITY & VELOPMENT VI
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
(909) 839-7020 Fax. (909) 861-3117 Building Inspection Hotline (909) M7027 FIRMLY
BUILDING PERMIT APPLICATION
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(.�_ APPurANT
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C@diBU WN LENDING AGENCY
I Nanny MAN under ana ty of palsy that there a a ConsN,eapn pending NoW for the P rowma n, of Me work *a
ae M tt a Issued {sac ODBI Car C t
LENDER S NAME _
LENOENSADDRESS
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praNlmxce soil 6'3'.a!ad m1811n wig aNeraw"Nowsian 1�.ed n taliNpxiknPF
PERWITTEE NAME (M
SIGNANRED, TIEE DAIS
APPLICATION DATE N �� Hart-•
ISSUE DATE %9k ke fI,%-
TYPE CONST
P/CN
PERMITA { 4� \4--'S 7•{Ot
COO GROUP
ZONING SETBACKS
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SIDE/SIDE STREET
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PROPOSED USE
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DESCRIPTION
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QUANTITY
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TOTAL FEES
'.. COMMENTS
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RECEN'TAt C2aanl� _ AND BY %—Ne� VALIDA71ON ..
WHITE—aWar nWot Copy, YELLOW—FinaMe Copy PINK—Aaaareor Copy, GOLDENROD— FRO COPY, GREEN —A NANions Copy