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CITYOFDIAM( +BAR
DEPARTMENTOFCOI UNITY& DEVELOPMENT SERVICES
2I810 Copley Drive, DLOTnond Bar, CA 91765
(909) 839-7020 Fax: (909) 861.3117 Building Inspection Hadnee (909) 839-7027
BUILDING PERMIT APPLICATION
JOB SITE ADDRESS
PEN LOT TRACT
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S1CdlA3NLE OF PEM4ntF DATE
ISSUE ATE DATE ` 2 t� PERMIT# P
ISSUE DATE I/� I' 0. jW! J+r p ..p.^*._
TYPE CONST„ J to i 0—!!W C ! OCC GROUP
ZONING SETBACKS
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COMMENTS
RECEIPT "� _ MD BY � rao�' VALIDATION
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WHITE— Department Copy YELLOW —Flnmea Copy PLANK— Assentor Copy, GOLDENROD —File Copy,—Applicaa'e Copy