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HomeMy WebLinkAbout17-3705w CE CE 0 v 0 Sty 15 O r3 R yr L ' - CITY OF DIAMOND BA DEPARTMENT OF COMMUNITY & DEVELOPMENT SE VICES 21810 Copley Drive, Diamond Bar, CA 91765 PRESS • w(909) 839-7020 Fax (909) 861-3117 Building Inspection Hotline (909) 839-7027 FlRM�Y atm BUILDING PERMIT APPLICATION ww.cityoldiamondbarcom builllmgndtamade andba.gav CIO/ JOB SITE ADDRESS (,T•-LJ`_—���.�`t. .. iLT APN T TRACT •!IF A3 OWNER ADDRG}O 1 �e{$-L. CITY �Ia 9rS TES Vit' 4- (b APPLICANTTEL CONTRACTOR ADORE�4S`.�Z-- if e CITY _a11Y_G.ft� N ZIPL —d O ARCH/ENG/ DESIGNER ADDRESS CITY ZIP TEL OWNER -BUILDER DECLARATION 1 nmbT am. bitter beam of penury mar I em ermp lam the Cwltreacra State License taw for Pre ruseds) Indlemad below by the alxvmNlgM, I heed Need nd to m sopllceUs Lower) )Section 70773, &mimeo and Pmfmlam CWe Any cdy at muray tlwt m e&" a pwo to anbuvL, alar. 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