HomeMy WebLinkAbout1195 � '`''� CITY OF DIAMOND BAR PRESS
��'� ' DEPARTMENT OF BUILDING AND SAFETY
� ~ BUILDING PERMIT FIRMLY
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JOBSITE � APPUCATION NERMIT SE
ADDRESS �� � - L SSUE TYPE R �CODE
� APN LOT TRACT DATE �—I D�O CONST. GROUP
o CROSS STREET �pNING SETBACKS "�"°�'E"'E"'$
°' OWNER FRONT RW ❑
� ADDRESS � REAR ❑
W CITY ZIP TEL SIDE/SIDE STREET RW ❑
o APPUCANT — TEL SIDE ❑
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o ADDRESS DISPOSAL
W CITY�C�}j2��A- ZIP �. ❑ PRIVATE SQ.FT./100 GAL
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z STATE p� ,
N LIC.NUMBER���{ �Z �'�2 GRADING ❑ CU.YDS.EXC. CU YDS FILL
y ARCH/ENG/ � TYPE SQ FT FACTDR PS - ADJ. R ALUATION
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o ADDRESS w iWi. 2
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� PROPOSED USE Z 4
� � GARAGE
= N0.DWEL. NO. NO. � pORCH
_ UNITS STORIES BEDROOMS
� � LOT DIMENSIONS m VALUATION ADJ.AREA
o NO.OF BL�GS HOW oUANT1tY DESCR{ ION FEE
W ON LOT USED Q � -� � �v O
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= CERTIFCAiE OF EXEMPTqN fN6Af WGfiKEPS'GOMPENSAiION NISIIfiAMtE.TAu utuon nnA mt Et carykt� � SUAN 0
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= lawa d Galdany (�(f
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_ �OnD�n3aU0n Ww�4O�S 01 Ce�Yhaf�,pd�.1'W mYil 1GNMM tMqly wiih WII1 pfwuW OI 11M2 QU 9 ihal
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d ❑I heie0y und�ih�t ro�wwuon hve(5)v:iNra�ei.m oepm nq wkcA�pasan a reyuud b dexad.
o�e w�M be myde m cmnecum wiA wwY wNuved D j�tlOi yeml.�sad��xo Wrdmi svunu�.wlloldmp,lal�ewak.
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W ]61.Ltle 8.G AL I.
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�. TOTAL FEES �l LI
COHSfRUCiqN IENDU�G PGENC(.1 M�ahr.aHum tlu�Ufn u!Sa^so�wn le�b?Y.!O�Y��4��+ �
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4 LERTYICAIE Of LOMPIIkNLE ANO ANHOWUT�1 OF ENTN'!:I wtdy I Mn naa tl�u appkaim W WY `u
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j� RECPT NO. �PAID BY � VALIDATION
.a ppplrtan�a Apm� o. •
WHITE—OepaAment Copy.YEILOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—FUe Copy.GREEN—Applicanb Copy . �
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