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� ,� CITY OF DIAMOND BA& -- DEPARTMENT OF COMMUNTTY l!t DEVELOPMENT SERVICES � � 21660 E.Capley Ihive Suite 190 (909)860-3195 Fax(909)861-3111 PRES$ BUQ.DING PERMIT APPLICATION FlRMLY oJOBSITE �j �J�2 �,r�,Q�� �fi�,�i` DATE CATION .i NU 8EA �.J W� ���—L/�I 4 ADDRESS �� � ISSUE �� �1l TYPE OCC APN LOT TRACT DATE (J CONST. GROUP g OWNER ���1(�--��,�—�J � ADDRESS ZONING SEBACKS � CITY ZIP TEL. F�� � � APPLICANT �� REAR ❑ � SIDE/SIDE STREEf RW ❑ CONTRACTOR SIDE ❑ ADDRESS g CfTY ZIP 7'EL ROPOSED USE ��`��� �iO V � ARCHIENG/ DESIGNER�✓,a).G G. � �,c� NO.DWEL NO. NO, ADORESS � �� -r�--'��`�` �'-T UNITS STORIES BEDROOMS � CITY ZIP TEL y cn DESCRIPTION S�.Ff. FACTOR PSF ADJ.AREANA�UATION Q OWNER-9UILDER OECLARATiON SFR7ADDJREM Q 11�f�1 AFFlIM UOER PENKiY OF PEIWRY TUT I MI D(EMVT FlqM TE COHfMCIORS tl- G9fH�.81FW1I � f�113ElA�MF'd1TFEPOILOYVNIORFA90N(SEC.7W7.6�WESSANDV110FESSIONSCOOE:ANVIXiYON (n . 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