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HomeMy WebLinkAbout15306 6 -� � ; . c�.,� J� CITY OF DIAMOND BAR t DEPARTMENT OF COMMLTNITY 8c DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suite 190 (909)860-3195 Faa(909)861-3117 PRE$$ ��^�� BUII.DING PERMIT APPLICATION FIRMI.Y o� JOBSITE �/��j P�� / /,� / DA�CATIO � V V NUMB R�./� �f� AODRESS ��� ,o rrr c�7_ $ issuE nrPe occ . APN LO� RACT DATE CONST. GROUP � OWNER � } "' ADDRESS ZONING SETHACKS Z CIIY IP TE .'r'j07 _ � REAA RW ❑ g APPLICANT �� SIDFJSIDE STAEET RW O � CONTRACTOR � SIDE ❑ ADORESS � C� Z�P�Z� PROPOSED USE � DESIGNER �/�j�F ConT�.�fr�b,p � ADORESS N�.DWEL NO. NO. 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W ENERGY P!C � WI�RlAN(i�fIIlURETO SECIIRE WOPoCER3' PENSATqN COVERAGE I NUwFl1L M!D SHALIBE g�g,1ECT1WEupLpyEqTpCRn.1P1ALPENALTIESANDCMLFINESUPTOONEFRINDREDTHWSAND ENERGYPERMIT �����yL�}I�,I���$�� pOlLMS(f700.000�.N 1DOITION 70TME GOSi OF CpAPEN4AT10N,DAMA6E4 AS PHOYiDED FOR IN J SECT10NJ7oeOFiHEIABORCaDEN7EREST,MN�TfOPNE1SFEE3. RETENTIONFEE: __I?T_�TI'.T�AT/'` Aw"l1L�AL'CTV 'R77LTJ11'1 � CONSTFiVCT10N LENDIN6 AGENCY PRE-ALT FEE: � INERfBYAFFlR4UIJDERDENIILTYOFVERRIRYTNAT7HERE19ACON3TRUCT�ONIFNDMOAGENCY Z FOR iHE PEA��NICE OF T1E WOAN FOR WHIW T/15 VERIAR IS�SSUEO(SEC.]oYl,CN.G). W � LENDER'S NAME � LENDERSADDRESS � I CEPTIiY T/UT I HAVE READ iN�S APPLKATION M1D STATf TNIT T1E ABOVE INFOf W�TION IS ODRRECT. TOTAL E ES • � d 1l.CREE TO C0IAPLY wfTM ILLl GTY AND COUHT`/OADMANCES N1D ST�TE Uw9 REUTwa TO BUIIDMlO CONSTRULTKKLANONEREBYAUTMO(91EREPRESENIATIVESOFTNISCOUNTYTOENfEHUPONTNE ��� � 1180VE�MENTpNEDPROPERiYFORiNSVECTqN RPOSES. 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