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— �� CITY OF DIAMOND BAR . ~Y= � DEPARTMENT OF COMMUNITY&DEV�LUpMENT SERVICES __-------._--- , � ___._.__....216fiQE._�OpleYEa�iyeStriGG�194 ._._.` , " .__�-- ----__ ___. ____ _____ --._._-- _._.__ _-PRESS_____ (909)660-3195 Fax(9(19)861-311T ';;�;�� . �urr.Dn�G P�RMrr ArB�eATTQN : _ :FIRMLY -� o �p�� ��R'�9� CAW YoIV YI�W�. �Q.:. - D��,°" � 3 q u�► ,.� �� y� _" $ rssue � nrPe ° �cc _ . ,- APN _ T � TRACT _ ,. OATE ___ _. ._ CQNST: . GRQUF�,.,._ � Q1Al1JER _ ,. .. _ ` . __ .. � • . , � ZONING SETBACKS _ ?, T� CITY ZIP TE FRONT . ..-- . __. RW - ._'. . '❑ -_,..__; APPIJCAN'f _ . ,_ _ _ _ ._ _._ TEL.:. •�-. R� � d ` • - _ SIDE/SIDE Sl'REET RW 0 _ � _ (� . _ f . SIDE - - ADDRN.rESS�O .... . : . ,. _ � GITY ZIP. TEL _ ' RROPOSED USE . _ _ . . B ARCWENCa/ F ' ' -� DESICaNER _ � . . _ ` � AODRESS . . �_. . NO.DWEL __ -�- NO.' _ _ N0.;- . ° � UNITS. _- STOHIES- SEDHOOMIS ._ ,3 � CfTY ��.. ` � FACTOR PSF ADJ.AAEANALUATIOM v� _ DESGRIP'TION SQ.FT. � _.OWNEFi$UILDER DEGLARATION .. _ - :;. , _ __� __ ________ _. SFFitADDtRE61 � ��ar�cwr auEn�rr oF rEnuum twv i vw ex�w+r�ne coxrnectrms u- ���- � n � _ �as�uwwFtnrtwuoww�wsa+ls�ctanseusw�sru�oanor•essiaHs000E:�wrcitroa' _ (n " ; oouwlrwwn�accuw�sArewrr000HsrnueLurEn.►�aAove.oa+ou�+.onar�uau�rsmuc. 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'�iIOM.AIEONRIHiBULLDHiWILLiMVETFIE WKOG/9FPR�IMWT1iATF�-OItSNF01DNOT-WLLDOR._ ' . __,.-,._. _._.__ . _. ._... . i _.. _ � _. _ _._..._� _...-. . _ j - r. �IpRWkFORTHEP{IRYOBEOFSKE). . . .. - 1 . . . �� . � ; -� �- ❑tASONMEpOFriIEPROPEiR1!Ai1EX4UBIVAYCONTRI�TBiGtYflilLlWlSWOONiR11CiOR8 � � . _.. '_ _..,:._.. _. -.. ._.. ..,-_ . - : .. TO CONBTfN1C�'IFff PROJEGT{SEC.7uM.&13YIE66 AtD PHO�SSPONS ODDE THE CONIHACTORS LF.` ._ . �79�yptjp� -.`-.. _-�' ��,-.. ADJ_AREA _ . �uuroo[sNor�n►.rin�wawr�noF�vrmaEarvwNoeua�or�r�rr�orEs�,w�n.. - t�qANTiir. �" -�SCR�Pt16N -.. .� --`t. FEE � - WlIOODNTMCT8fOR8IXWPNDJE�WfiHACONfA4Gf011!$1L��PNR61MNf�iF�N�MC. � ;, � 1ORi UC216E IAMµ - .. . .` .'... .. ... - .� . ,` f,' . _ . ... - 0 OIAYEXFIIP[tMID6iSEC.� .__ __.. .- . �Tp�qE�gpH_. - . .- __ , ._� �, A .`s: .,''.._ ...'r .._ . . .._ ._ . - -.-.'�' .�.. . '' '� : 4' ',r .�, S , , � _ ., . , . ._ � . . ..._� . .. . ._.. ; - lL �E � �� . . __._ . , ,. . =.: .:_.. � � k .�,c� _ . ..- . . . : � . _ � ` � . ._ , .. UCENSED ,. , . OC _ - __...� . _. . IHEflEBYAFFIHMIMIDERPENALTYOFiEMHiN7WR{NALICENSEDUNDEHVIiOVI310N90FCHAPiFA� . 1 __ - _-. ^ ;. --� . •(OOMMFNCIlNWRNSECf10N7u9D)OFDIV13WMiOf.i!£BUSWESSAN6PAOFE6SCN4GOOE.MI� . ' Z � . �. �. � MYUC�IBMFlNIFONCEMOEFFECC ' - 'r' .- m : .' Q.l.'p � ��Q , � . . W t _ __ . . . __ � _ ... . . .. .... ...._..... . . . . .. � o �� uc.ao- - T � � g ` 11� � � 2 � � tr ;� � �� � � �. - Oit -- . = WOAKEHS'COMPENSATION GECLARATWN � � �:�_�. �- !►i�EBVAFFIRWlN1UE3{VEIiALTYOFPEfLURYONEOFTi�POLtAYNNODE�1AMilONS: ._..... ... _ . . _.. .. ..., . -, t.,.. .._ .. '/�..,Z . � . � . . � . F . . W Y �� _If{IWEAI�Q1NN.l11ANIT11M110ER'fIF1GRE0�F00lISBtf10SKFaNSUfiEFORVt�01i1�H!Y . . . . �..."..�� ' OOIMFlIBIJION.A6PPOVID�BYSECTIONl70DOF7f�U1BOHCdOER7RIHEPEHP0i01AliCE.. C� .._.... � ..OF7F£YVOHKPaiWlBCNLWS�►YT64188U�. � . ... �_ . . __. .... - - � � �__IFI�VEMOri01MMNTl1NMIOHIfERB'OOMPQ18A710NBi5UR�NCE.ASRE0UIREDBY3EC110M__ ... ..._,.. .._.. .... ._....:, ..... . . . �..........__.� �.. . ._. .. ... d• at000cn+EueonmoE.wxi�r�riw�oFit�worucFanw�niNs�roar�s �su�.r+rr�oncros� c�nwEn�wonaicv�eEa� COWSTRUCTION �I � _.. _ . _ ___ � � --- . _ .-._ PL/4N REVIEVY _ _. • : � CAppEp - - ' � v�oucr�e6��, , _ . . __. EI,E4"ni�C____._.., .. 1 � . . .jniseEcnoNNE�tlofeEmLaEl�oi'M1�EVFAMIisroaarEF11)al�onlAHS6�m1aRlFS61 PlUM81NG �' _ _. - -- MECFtAMICAL __ . _ _ . __._..___ - -Z � I CERTIFY IHhT IN TFE PERFaRY11Nf:E OF tME MA�PoC PD11 WFIHli l}dS PEHMR 15155UE0.1 ...._�... ..� .-. ._...�_ .. - SNNL NOT EMPIOY ANY OERBON RIANY IAANNER SOA4 M 6EC9ME el�.IECT 70THE ,i� N wowcEr�caMr�Tar�uwsoFc�uFow+A�rw r��sHo�xnsEco�,�e INSPEC710NFEE _ sve,�crro�worn�asmroe+s�TaN s naooFn�tneoA . _-_� _. . _ _ __ ..._ �. .. ' Q cooEiai+�u.wRnnwn+ooMraxnnrnnse ISSUANCE . . -... � -dITE�-1i..._�-G? APPLICAHf: ,. . .. . .. . .. -SMIP_ _.... . .__ � : W�nwHct F�ut.unE io sEamE varucEns cp.wo+s►r� wFu.uro srwi eE ENERGY P!C . ..-. �- -SUBJEWAHEMPlOYF3tTOCRWINM.PEWII.TIESMIDCMLFMIE4 cHUNonEon�oisum..... ENERGYPERbNT _ - _ _ _ _ . � � DOLLAflS(itC0.�l.N1A0IXTWNTOTHECOSTOFCaW ABPibYqFAWNW ._... , - sEctaNrntoFn�t�eoncao�.rrtEnesr.an�nawers��. RETENTIONFEE: • - " „ � . � CONSTRUCTION LENDING AGENCY PHE•ALT FEE � � /1 IHEREBVAFFWMUNDERPENALMt�PERA7f1YTMATTHEHE�SACON37A�pNLENDW6AOENCV ,r TV nFi Y�1�AX,fr11TT ri�n .. � FORTI�PEHPDMUNCEOFTNEWORKiOHWWCHTMISPEWNiI818SU�ISEC.70W.pV.Gb R��t,7T� ���� . . . ._ ._. .._.._ ....... ... ... .. . �-_..� LH�OERSpIMAE. ... _. .. . - _ . _. . .. - . . C �HIOEERS/�OOFfE55 .. .._ _.�SSs ._ . .., . ._..__ .__..� . .'. . .�. -, W ICENT6YTMATIMWENFAOTWSMPUCATqHN1U8TATEiNATTHEABDVENFOPMA710NISCOi�IECT. TOTAL�FEES - . .►. : � IAOPEElOCO1A%.YWITYIALLCf1YA1qGDURYONDPUNCESANDSTATEUWSREIATMICiTOBULDItNi , . � .� CONSTAlICf1�KANDHEREBYAUT11D�1�liEPRESENiATNE5.�7WSfriNiY7QEMEfl4R4NIFIE..._ _ . ......... .. .........._.__.,-,_..., .. ......... ,: � - Z ABOVE#IBlf10NED PROPFATY fOfl INSPECTION PUHP06ES. COMMENTS �. ..� , . __. � Y,� . . ___�__,._ .__ _ _ - ., _ d. �E . . �_ .iO..,,_�... � _ � . .� �.�.. . .- : . , . _._ - ..... _._ __ .. . . ._.. . .._ _ N ._ _...��Ii _ . ., ,. _. './i (�i . -. , :- . N � RECPT.NO.. PND BY `v �VAUDAiION WMTE-pop�Nnw�t CoPy YELLOV�F--Flnu�a CoP7L PMNc-yAsrwea CoPY•�OD-FikGovf4�'a Copy,,.. � _ _ .. . ; � . , . .. ; , , , . , . , , . . � . _.� _�� � _ � _. _ .. . _ _ �.� � ,r : e ... , � _ � , . _� _ _ _ _ . - ; , �: _ _ ,. J � ,� ; - - , �� ; �'r ' , ; - � - .�� -, � , � , e , .. . . � . ._ . , , _ ; , w .� � . , _ : . ,- t- - , , , t, � . � �' ' � - � �T, � �; � _� �- � -' � - 1 w r, � 1 . - � � - . _ . r, • - A _ _ _ � '�''r- . L .'t . 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