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�.�'�7 — �,� CITY OF D[A1diQ1VD BAI3 ' L��&'AIBTtl�I��T'�Q�C011�NlUI�dITY�DEV1EL01PMEMT SFRVI(�83 ' �, •;�' ' 216fr0 P,.COpiey I�C.ive alAike 1 s�Y) .�,... , �,.�. ;� �� . (4�)860-3195 Fax(909)861-3117 RESS � ,.. �'•��'"' �uzt,�notG.���t�g'g'�p��,��;�s'rYON _ FIRMLY '� y JOBSITE � APPLICATION (� PERMIT /�' P/C � ADDRESS�[l� % -:�:�_,��_ pA7E _����� NUMBER/ � " # � --"—'— ISSUE TYPE OCC APN__ L07 7RACT_.__ pq��_______ ' CONST. GflOUP p OWNER � '� . , -- - -- -- -��--.---- o ADDRESS�! ��( �/ �+ 7_ONING SFTBACKS Z CITY��lYb.f9�_P�i4� ZIP��TEL�Q(LQ=7��/ FRONT __.._—.-- -- RW �� ---- d APPLICANT _` 'fF_l._ �EAR n --- � � -- -- SI�E/SIDE STREET RW_ U ---------- � Cf)N'fRACTO ,� �2��.d`� --- --- __..._—,--- � SI�F ------ �� � ADDRESS ` ��}��__-+�- ' ' a CITY�����_ ZIP�L�,� IEl..���-- '�7t � Y Pd�4�Q USE /� _ .�� w ARCH/ENGI z DESIGfUER__ M,k)N/�Z' _.� .1 - " ,3!- w ------ NO.DWEL. NO. 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