HomeMy WebLinkAbout1585 (23) '"� CIT O D ��G ��`1-I CD�
Y F IAMOND BAR pqESS
�-�' ' DEPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT FiRMLY
JOBSITE Z��3a C};AN OE�-� L• APPLICATION �,--� PERMIT � USE
ADDRESS I1�t� cw�n e3r'Ff2 DATE ��1U NUMBER CODE
ISSUE TYPE
� APN LOT TRACT DATE CONST. GROUP
p CROSS STREET_ �v�-v�t! l� - ZONING S TBA KS "R0'�"�"s
°° OWNER .FRONT ' � RW ❑ .
o A�ORESS 2 3�3� G!�4 Al l��l.L E (.• REAR ' � ❑ � �
� GITY Dt�. B�t/L ZIp917 6.1"�TEL8La63�'� SIDE/SIDE STREET RW ❑
o APPLICANT Sa Y-+e TEL SIDE CJ
0
x - i
` CONTRACTOR SEWAGE
o ADDRESS ❑ PUBLJC PMT�
DISPOSAL � pRn/ATE SQ.FT./100 GAL
w CITY � TEL.
Z STATE GRADING ❑CU.YDS.EXC. CU YDS FlLL
d LIC.NUMBER
N ARCH/ENG/ \ � NPE SQ FT FACT�R PS ADJ. AREANALUATION
V' DESIGNER ��� � W � I, L'O
o ADDRESS �y 2
Z CITY ZIP TEL (►} 3
� PROPOSED USE L� Z 4
� � GARAGE
Q NO.OWEL NO. NO. � PORCH
y UNITS STO �E� BEDROOMS
s LOT DIMENSIONS m VALUATION ADJ.AREA
o NO.OF BLDGS HOW ovarmrv DESCRI ION FEE -
W ON LOT USEO Q
� U
W
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� �"""'N""" COMMENTS
m t�.•:aea�s
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X g���� RECPT NO. PAID BY � VAUOATION
Sgnaru�d MdRA�a Apm 0.a .
WHITE—Department Copy,YELLOW—Finance Copy,PINK—Ass3esor Copy,GOLDENFiOD—Fle Copy,GREEN—Appiicanb Copy
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