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HomeMy WebLinkAbout14417 � CITY OF DIAMOND BA� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _ � 2i�oE.co�eyn�►�s,�c�i90 pRESS `�'�� BUII,DING PERMIT APPLICATION FIRMLY o� JOBSITE �---l�t 1 ������L DA�CATIONI�_��� / NUMBEW �� M� ADDRESS I"t"1 � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER�-�'21.�P��`11/�AITL� o ADDRESSS ZONING SETBACKS � CITY �� _ ZIP 47t� TEL.�—��L FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ c� ADORESS =Z����� PROPOSED USE Q CITY ZIP��_ TEL��""�� wv ARCWENG! � DESIGNEH N�.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff: FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION �R/qpp/pEM � �N�ar�wM u�meA v�ri oF vEaiurrv nuT i u.��Mvr rAOM rne conrn�ctoAs u- GaragdCarpoA CENSEUWfON7HEWLLOWINO1iEASONi5EC.7031.b8U5NE55MiDPflOFE5510N.4CODENIYCITYOR (n CWHIYVMIGIREOUWESAPERAIRTOCONSTRUCf,ALTER,IMPHOYE,DEMOUSH.ORREP/URANVSTRUG W peliONeCk 7UqE,PRqp TO RS ISSUANCE,A180 REW If1ES THE APPLICAN7 FOR SUpI PEiUAIT TO F�E A SIGNE� w � 6TATEAIENT iHAT HE OR SHE�5 LJCENSEO PURSUANT 70 7HE PNovl5loN5 OF n7E CON7W�CTOit4l1- � CENSELIIW(qiAp7Ep Y�CpAYENCINO Wfi}7 SECIION 7000)OF DIVISION]OF7HE BUSINESSAND PRd �'�' FooUSpa FESSqNS CoO�011 iHAT HE Oq 5HE IS EXEMPT hIEREFROM ANDTME BA515 FOR THE ALLEQED EXEMP� TpN,ANYYIOLATI0NOF5ECT10N7037.60YANYMPUCANTFOHAPERAl1T6U&IECTSTHEMPLIGWTTO Z q�qapf � ACML�ENALTY OF NOT MOiIE 7HAN FNE HUNDRED OOLURS(f600).): J � ❑I.ASOWNEROFTHEPFIOPERT/,ORMYEMPLOYEESMATHWAGES0.57NEIHSOIECOMPEN5ATI0N, � �mmercial YVILL 00 7HE W(1PIS AN�7HE STRUCil1RE IS NOT IMEIAED OR OFFEHED FOR SALE(SEC.70N,BU51� J wece/MI�PROFESSpNS COOE:THE COHTFIACTONS LJCENSE UW OOES NOT APPLY TO Ml OWNER OF = � iNOPEflTYNR10BU0.050RMIPRWESTiEREON,M10W11ODOESSUCHW'DIiKHIMSELFORHERSELFOi1 (� 7}f10Ud1H180flHEHOWNEMPLOYEES,VROVIDED7FLITSUCHWVROVEYENTSAqENOTINTEN�EDOR m � piFfipEDGOqSALEIF,f10WE1/ER7MEBULLDIN60RWPNOVEAAENTISSOLUWRMINONEYEAROFCpAPLE• � �TqN,iME OWNEfLBURt1EN MALL MAVE TME BUflDEN OF PROVWO TVNT HE OH 5HE DW NOT BUILD Ofl NIPIpVE�i iME PURPOSE OF 9ALE} � ❑4�3DM�NENOFTHEPROPENTV,AMIXCLUSNELVCONfMCiWOWiTHLICENSEDCONTRACTORS TO CONSTpUCT iHE PR0.IECT(SEC.70ll,BUSINESS�NO PqOGE5510N5 COUE:7NE CONTRACTOflS LI• V81U8tiOf1 ADJ.AREA W CENSElAW00ESNOTMPLYTOANOWNEflOF11PROPEHTYNRiOBUdD50RMPROYEBTHEflEON,AND Z WHOWMTRACTSfOR5UCIIVROJECTSWITNACONTMCTOH(S�LiCENSEDPURSUANTTOTHEWNRNF pUANTITY DESCRIPTION FEE �' taisuc�+seuw). � O��M E7�YPT UI�EN SEC. 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