HomeMy WebLinkAbout2934 (14)CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY
ti FIRMLYBUILDINGPERMIT _ _
JOBSITE L
APPLICATION PE SE
ADDRESS DATE NUMBER COD
ISSUE TYPE OCC.
DATE CONST. GROUPAPNWTTRACTS'7,
CROSS S EET --' ZONING SETBACKS am"aEaAE IS
OWNERS FRO RW
ADDRESS—Vj.9 Z414 /Al -75-51 i ' /l y REAR
CITY:,CI a.t . I J DP !—Z?J L TEL.s/ 3/3 ! SIDE/SIDE STREET RW
APPLICANT TEL. SIDE
CONTRACTOR Y
SEWAGE PUBLIC PMT #
ADDRESS DISPOSAL PRIVATE SQ FT / 100 GAL.
CITY TEL
STATE GRADING CU. YDS. EXC. CU YDS FILLLIC. NUMBER
co TYPE SQ FT FACiDR ADAI. AR ALUATION
ARCH/ENG/
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DESIGNER
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me Qom- PROPOSEDUSE 3
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J GARAGE ltd % i/1p _
NO. DWEL. NO. NO. PORCH
UNITS STORIES BEDROOMS
VALUATION ADI. AREALOTDIMENSIONS
OUANTITY DESCRIPTION FEENO. OF BLDGS HOW
O LOT USED
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i CERTIFICATE Of E%EMPTpI FROM waH(ERS' CIYAPENSATIOI MEIWANl4 the arwn naM rt d tw,rr SUANCoitthepmevtafararwhw*w IFI00) w Im. I wryly the a 9w pllrlarI d 9w wort r when ON
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aw Appsant 17- SCHOOL FEES 4! " aNOTICETOAPPLICANT: O, alt rlrirq Oas C«slicm d EwsAmn. 1m slrll leap wast fp Ifw MRrY«'s
Cwwnswar pwrsw.s of Ow LAN Cada, yp wewl I" Am d mnoy wdl sit prswrrw w On Pwad drop
be deemed rnvm.
AN 22OMSMOF90MRIA1, SAFETY Pfor CERmIC rm
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TOTAL FEC8.. -• .-N..+t, -.r••. ..,.. : , - y 0—. of NhahN S k v P«I.d Me.
oCClW%ICTeM LENCIM MiNCY: I hmW adhm the Ora a a rwahs.m brim a9rsY fm w Iwlwatwa+
e of rk work to whO 1k prma a arta ISs. 3[67, Civ . C.).
LeN«'s Name COMMENTS
p Lwdw's Add.
c CERTKATE OF Cdo1RWO AND AJTI(WATdd OF E11TMf: I CwWV I hap wad On a okft a aw seam
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h. wish I wood kr Il d mdse ispat6rr. M. RECPT NO. PLAID BY.1L VADA
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VAITE—DltWmem Copy. YELLOW—Finance Copy. PINK—Assessor Copy GOLDENROD—File Copy, GREEN— AppNants COPY I f
BS106-11189
SEPTTAINKSIZE ... ..... ______