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CCTYOFDIAM( BAR
[t DEPARTMENT OFCOMMUNITY & DEVELOPMENT EYICES
21810 Copley Drive, Diamond Bar, CA 91765
(909)839.7020 Fax: (909) 861-3117 Building Inspection Hotline (909) 839-7027
BUILDING PERMITAPPLICATION
JOS SITE ADDRESS' 3-;L- t �'�:•'''
APN LOT TRACT
OWNER Illy
ADDRESS a G% YrA rr�� —_
CITY ' ZIPO-7.,�y TEL _F!.C' �4fV,.(Oils
APPLICANT TE
CONTRACTOR
ADDRESS f
CITY IA{ E=SEA ZIP JIA TE
ARCHIENGIDESIGNER
ADDRESS
CITY ZIP TEL
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PM%WM Cods Any ply «calm" that mention permit M construct, liter, "Prom. demoliah,or mialt, any
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d not more Nan be hundred dJMdm (55001
U I, a war of Me papery, or my employees with wages an Malr sets commenmtlm, will do all of orU portlnm
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CONSFRUCTION LENDING AGENCY
I herby amam undo, cash W aware Mat them Is a Construction Landing Agency for the instrumental of the were for
ver ch into mart N hued (Sao 3097, ON C )
LENDER S NAME
LENOERSADORESS
I may that I have read this appliPatim and data Mat the chore Inlormadan Is enact I agree M comply win as city and
man redeem end maIII
aws rnMdng MbulMing aatabLmMll all hereby ammrlx rep2temaaNmaMq mumyM
ems a ion ebWe memomd ma my oay lmpegben p nmmes
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PERM Nlj
SIGNA DATE e-I �-
APPLICATIONDATE yla�wZir2ar�
TYPE CONST OCC GROUP
ZONING
SETBACKS
FRONT
RVd ❑
REAR
❑
SIDEISIDE STREET
RW .........
SIDE
❑
PROPOSED USE I
R OWEL UNITS It STORIES A BEDROOMS
SFRAAD"EM
Gamgo/Cerport
PogdDock
RaRbaf
clammeclel
Valubl mn
SO FT I FACTOR PSF I ADJ AREA/VALUATION
Area
CONSTRUCTION ...........
PLAN REVIEW
ELECTRIC
PLUMBING
MECHANICAL t
INSPECTION FEE
ISSUANCE
SMIP
ENERGY PIC
ENERGY PERMIT
RETENTION FEE ............. • O
PRE ALT FEE t
BSAF
TOTAL FEES
COMMENTS
AhLl
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