HomeMy WebLinkAbout1195 (5) � '`''� 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 "p"°�'E"'E'r'S
°' 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
= GITY��9�'��'-ZIP TEL. (} 3
� 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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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 . �
BS70611l89
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