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CITY OF DIAMOND BA pARTMENT OF COMMUNITY& _ VELOPAENTSERVICES
21810 Copley Drive, Diamond Bar, CA 91765 PRESS
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(909) 839.7020 Fax (909) 861-3117 Budding Inspection Hotline (909) 839-7027 FIRMLY
BUILDING PERMIT APPLICATION www.cityofdismondbareom budding@dTamondbarea.gov
JOB SITE ADDRESS 07— +`-'O
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OWNER
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CITY .42�'64w ZIP TEL
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ARCHIENG7
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WOMaR'S COMPBMTM DECLARATION
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POLIMNIAMER
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LENDERS NAME
LEADERS ADDRESS
oeltlyYMmf them laatlmmapgmapm mtl ddm that memarn lmIXmadenmEpnnl.N Ia9wommmplywmall ENpand
chi o dneves and state lows remUng m buiMng twebuenw not hereby ouil m repRwlReBVes of this moldy to
Onnif To Emwmm_..Omed property fix impaction purpm
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APPLICATION DATE
ISSUE OATS r —PERMIT#
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OGCGROUP 1
Scope oT Work 1G.im+d ¥ K._7,
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DESCRIPTION
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