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HomeMy WebLinkAbout11-1305 (3)` CITY OF DIAMOND BAR L/cJ x M"""CP -- DEPARTMENT OF COMMUNITY & DYVELOPMENT SERVICES / � ©k 21825 Copley Drive, Diamond Bar, CA 91765 /// (909) 839.7020 Fax(909)861-3117 Building Inspection Hotline (909) 839-70/ } PRESS ` BUILDING PERMIT APPLICATION PP, FIRMLY JOBSITE ADDRESS ! /'" ��A.. fiC•C�-CT tC(A-F�-!( .- ADN LOT ) )TRACTf OWNER i !ti✓iy;.- JJN �� ADDRESS 17 CITY ZIP TEL APPLICANT TEL CONTRACTOR ADORES212 CTTY ZIP 7LZj TEL.tk&L' E..' ARCHtENCY DESIGNER ADDRESS CITY ZIP TEL OWNER BUILDER DECLARATION 1 HIMISY APRgM UNEP PEN4TY OF PE1WW THAT I NI EXMT FIRM THE C/.YWRAi0R8 LF 'ME lAN FOR THE F0.40WNO REASON (SEC POW 5BUSINEMAN0 PROFESStlNe MDE PHYCITYOR OWNTY WHICH REWIRESAPERMITTC CONSTRUCT ALTER IMPROVE DEMOLISH OPREPNP.WYBTPUC }URE, PR'pR TO ITS LSNMNW- ALSO REWIRES THE APPLICN? 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