HomeMy WebLinkAbout1418 (14) '"` CITY OF DIAMOND BAR pRESS
DEPAR'TMENT OF BUILDING AND SAFETY
UN� C BUtLDING PERMIT FIRMLY
JOBSITE���O ' ��`� /',/� A,. O ,/ �ATION PERMtT E
ADDRES �7'� l.•�1')�d /V DATE NUMBER CODE
s APN LOT T CT• DATE�r �`7� CONST. GROIJP
o CROSS STREET �'� SETBACKS ���
°-° OWNER ZONING �Q� � �
� ADDRE$S3 M � REAR ❑
W CITY D�A1�l� �����,ZIP TEL SIDE/SIDE STREET RW ❑
o APPIJCANT TEL � SIDE O
:
6 CONTRACTOR �w _ S SEWAGE
o ADDRESS SAL ❑ �B� ��
W CITY n . 'Z�p ❑ PRNATE 5Q.FT./100 GAL I
Z STATE � O�'/�� I GRADING ❑ CU.YDS.EXC. CU YDS FILL
d LIC.NUMBER 0 ��1 �
y ARCH/ENG/ � TYPE SQ FT FACiOR PS ADJ. AREANALUATION
� DESIGNER W �
o ADDRESS tL 2
= CITY ZIP TEL (� 3
� PROPOSED USE Z 4 �
� � GARAGE
o N0.DWEL NO. NO. � P��
y UNITS STORIES BEDROOMS
� LOT DIMENSIONS m VALUATION ADJ.AREA
o N0.OF BLDGS HOW Q��►�rrrrY DES RiPTION.
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W ON LOT USED Q �
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o �'�'d�'�' W PARK FEE
� Detr �"�'�� � SCHOOL FEES
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TOTAL FEES
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- —' 1endi•��ru"• COMMENTS
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syn,n.. Mot.,t w � o,�, t RECPT NO. �/ P/UD BY AUOATION
WHITE—Department Copy,YELLOW—Fnance Copy,PINK—/l4seasor Copy,GOLDENROD—Flla Copy,GREEN—AppRcaMs Copy
BS106�11l89
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