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DEPARTMENT OFCOMMUNITV &DEVELOPMENT RVICES
21810 Copley Drive, Diamond Bar, CA 91765
(909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909} 839-7627
BUILDING PERMIT APPLICATION www.eityofElmmandbarcom buddingQdlamondbareagov
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SIONATURE DA PFAMITTH DATE
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APPLICATION DATE
ISSUE DATE
TYPE CONST
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F`PERMIT@ PR /P - "411
DOC GROUP
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