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HomeMy WebLinkAbout15526 (23) . - . ._ - -- - - - i �� CITY OF DIAMOND BA& � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � •` . 21660 E.Coplcy Drivo Suitc 190 � (909)860-3195 Faa(909)861-3117 � PRESS `M'� BUILDIIVG PERMTI'APPLICATION FIRMLY � JOBSITE ZO�/�( CiA�i�i"�O (���{L� _ �� .U;u ��` 1✓ o ADDRESS � � �PUCATION(� PERMIT P/C DATE '� NUMBER 7t � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER LL ADDRE,S�S" �—l1F3 / C /17 ZONING SETBACKS Z CITY,/c/iil'1d v��Sh. ZIP TEL. ' CS FRONT RW O g APPLICANT TEL. REAR O � � SIDFJSIDE STREET RW O CONTRACTOR ��-a') ��� •ti+�j" SIDE O � ADDRES C L. =� CfTY / ZIP TELy�c�J-4'CS�-S -C;� PROPOSEDUSE � ARCWENG/ • DESIGNER NO.DWEL NO. NO. ADDflESS UNITS STORIES BEDROOMS � CITY ZIP TEL � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDEF DECtARATION SFR/ADD/FiEM O 1 NEREBY KFWM LhDER iENAtT'OF VERAIRY THAT 1 NA EXEAIM FHOrJ THE CONTiUCTORS lF GaragelCarport CENSELAWFOAiHEfOl1ONWURFA50N(SEG7Wt.6&15WESSA1mDROFE5510NSCODEAHYGTYOR (n COlMYN1i161RE0UWE5APEW4TTDCONSTHUGT.KTERiMPROVE�E1�0U5HOAREPAuiANY57AVG - _-_- _ . ._ _ _. lUR6 VRqR iOITS ISSUANCE,AL50 REOUuiES iHE A7FlIL/NT FOR SUCH VERWT TO FILE A SiGNED w PdIb/OOCk STATEMFM iHAi ME OR SME l5 110EH5W PUfiSUANT TO TME PROYISIONS OF TNE CONTRAGTORS LL � CENSE lAW(C3W TER i(�MENGNIO N7iH SECTION 7000)OF DIVISION i OF THE BUSWFSS AND PqD- � POOI/S(W GESSIONS GZOE)Ofl THATME OH 51�E LS E%EYPi TMEREFFiOY ANO THE BA515 FOR TNE ALLEGE�EXEA/v TqfLAHVYqlAT10NOF5ECT10N7o71.6BYANYMVIICAHTiORAGEwYT5U8,lECiSiHEMGIM.WTTO Z Rg-ppp� � ApVILVENAIiYO�NOTAIOAETNANFIVE/IA�OREDDOLLIASl1500).r � 04��N'NEROFiMEVROVEH7Y.ORYYEMPLOYEESNniMwAGE5A5TNE1R50LEtOMIPENSATqN, 0 �mBfCldl ' Wq1 p0 THE WOFl�C!WD iHF&TRUCTURE IS HOt IN7EHOED Oq OFFENEO FOR S�LE(SEG 7ou.BUSb J NE59 MlD iROFE5S10N5 COOE TI�CDNTRACTOAS UCFNSE UVI OOES NO7 AVPIt TO MI OWHER OF N iHOPERTYYMqBUIDSORMGipYESiHEHEON.MmKt/0DOE55UCNVAFKWMSELFORHERSEIFOR � � iIIROUGHW50qHERONME�MLOYEES.GROVIDEOTUTSUC)IWDqOYEYENTSAPENOTNTElOmOq LY� .OFFEAED fOHSALE IF,IqY�EVFRME NRDYK301i W PROVENEHT IS SOtD W1T1YN ONE YEAROFCO4PLE- � TIOH,iHE OwNEwlU0.DER WILL HAVE 1HE WNDEN OF PNOYwO iHAt HE OR SHE OID HOT BUIID 0(t WROYE FOfi ME PUHP0.5E OF SALEI ❑t ti."OW11ER Of iME VROVERTY,NA E%CLL'SNEIY COHTMCTPxi VAT11 UCENSED CONTRAC70H3 Q TO COKSTPUCT T11E VR�IEGT(SEG 7Cal.B1151NE55 M10 V(1DFESSIONS C06E THE CONiRACTOqS U. 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