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HomeMy WebLinkAbout17026 (23) �� CITY OF DIAI�40ND BAR � DEPARTMENT OF COMMUNITY&DEVELOPNIENT SERVICES � , _..e 21825 E.Copley Drive ', � (909)860-3195 Fax(909)861-3117 PRESS ����� RUILDING PERMITAPPLICATION FIRMLY o DDRIESS ��Z 7/7 ryNy I\ j�r� APPLICATION � t} PERMIT �`/f�'J� p/C / ' DATE � � NUMBER� q i� � APN LOT TAACT � ISSUE �) TYPE OCC p OWNER _� DATE � �/ CONST. GROUP p ADDRESS N - ZONING SETBACKS o �R1' � � IP TEL FRONT qyy � � � APPLICA TEL. ' REAR Q SIDE/SIDESTREET RW ❑ � CONTRACTOR ���' � `�F-1 N "1 SIDE O � ADDRESS � ��T1' ZIP t�!/Id�TEL.�� P r��i- PROPOSED USE - �� W ARCWEN �Tr✓ 7l�;� - � z DESiGNER 'r 7f��` a ADDRESS NO.DWEL. "'� NO. � � C�TY ZIP TEL. UNITS STORIES BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� ON7JER-BUILDER DECLARATION ' O SFWAD�/REM p I HEREBV AFFIRu UNDER VENALTI OF DFRIURY THAT I AM EXCIJPT fROM THE CONTqACTORS L4 Gafp O/C0. 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