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-' CITY OF DIAMOND BAR e "
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21810 Copley Dnve, Diamond Bar, CA 91765 PRESS
` (909) 839-7020 Fax: (909) 861-3117 Building Inspection Hotline (909) $39-7027
e, BUILDING PERMIT APPLICATION ivWAvcityofdiemondbareom buddiag@deamoadbarDagov FIRMLY
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of Me work 7044 sod Nw Pm"bm rad8 The
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year prior As mmga Area of McImDroaarrreae worse by MCA xm*j owner AAMAy all a Anoint Cat I him Area am
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eubmMtedamda tolmNrp Wee eRe tRl¢hwxv lapmogyaAaMwFAnd
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CENSE CLASS LKIND (_A4AQq
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WO RMiS CONVENUTION I)MARATKIN
1 REREBY AcRflM UNDER PENALTY OF PERIiHfY WE OF THE FOLOw1NG DEMARADONB
_ 1 No am wIN whole a CedlRca's at Garment M Sol matrs Mr WaMm's Camw4om w p wnse; by
Sorption 3700 of the Lahr, Code AN the pvbrmarlce M No veal, for w14'chftpamaMhistory
I Nve And wM maMMin Waear'e COMamedm mwraae, AN rM"d M Setae 37m a ON LAW Code, As
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allS SECTON NEED NOT BE CCWFU TED TTHE PFRCIp 5 Pon ONE MINDED L4i,IJFn 11100 CA USS
I UNNNIet lnthe peMOmrerce of Mws was AN Ni fir, PmM le Ntlad, Itl mi amp" Any paem In try rtanara a
amine aLftmal M the Worewa Components Lam of C9Nbnea Are ages, Met N I eMum bamh metal to We W~a
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DATE APMIFANT
WARMING Form to secure Nhrt»r a tbmpenulim Meade M uaae4M iM Fail eubNM AN sapiyw M crtrnemi
perawn 0M sivli Mars m an om makmd MpUlamT dwm is 100 offs% in addition in laws inn to the =n , Mat
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I pantry ant, render penahy, de" met Cite M a ConMnamm tenors; Apra, fix ow Coda e IX in, wok it
wnkn this Gamai a head ASK Eli Cr, C )
LENDER S NAME
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LENDER'S ADDRESS
I CeMry ma l hen rate Mappka An aM Note that the move lnfamum is Coffee l amM Comply"MM In CRY who
CountyaCkmrisa zM slxta with mleflrp M MObad M"ftuxome and NMby augedn ho epath" M M, countyt
Amer upon the News meniawd pmperty fer MMM i'. puggae
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TYPE CONST... OOCGROUP
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DESCRIPTION
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TOTAL FEES
COMMENTS
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P/C PAID BY .... VALIDATION
RECBlPia S' _ PAID BY J { y VALIDATION
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