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HomeMy WebLinkAbout15997 (23) . i . _ . CITY OF DIAMOND BAR � ��� ' -- DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES Y 21660 E.Coplcy Drive Suite 190 (909)860-3195 Fez(909)861-3117 � (f�/� � PR ESS ��'AM� BUQ.DING PERMIT APPLICATION �� r� � FIRMLY y�, JOBSITE t ��- ,� APPLICATION PERMIT /C�� ,2r^ o ADDRESS ���65 �� ���I DATE � NUMBER� �,N �`� �-/`� � ISSUE NPE OCC -- APN LOT TRACT DA7E CONST. GROUP p OWNER So.GoJtS A1tZOVh�T MC�i�1' . l�S .. LL ADDR�SS 11 6C , CO l.C. ZONING SETBACKS � CITY ����^� ZIP�II LC� TEL. FRONT RW ❑ APPLICANT hT TEL. p�R � � SIDEJSIDE STREE7 RW p CONTRACTOR SIDE ❑ ADDRESS g CfTY ZIP TEL PROPOSED USE_�� I H�Z- �'-�t7 E1� W I'St�U �,T. I.� �i ARCHIENG/ � 1 f�G(� ��Yt_(1-I�Z.A=I � DESIGNER ADDR S_ 1�n. ./w 01V.:u eV r�t- NO.DWEL. NO. NO. `n CITY ��n��� ZIP 11 70 TEL.G,7�F, 2XD•�Q� UNITS STORIES BEDROOMS � tn DESCRIPTION SO.FT. 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ISSUANCE O G, ` p DA7E: APPLICANT: . SMIP 1 � ZOIl1 �`�U� � W�RNINO:F LURE TO SEWHE WORNERS'L01AP :iAT HAGE IS UNLANFUI.AND SMALL BE ENERGY PIC /1i � 6UBJECTANEMPIOVEHTOCRIMINIIPENALTIE F SUPTOCNEMUN�REOTHOUSAND ENERGYPERMIT1 r ` l'` �„ oauasts+m.oao�.w�oi�r+Ton+Ecosr FCOM "NSATION.DAIAAGESASPROVIDEDFORIN t5 J� 6ECTIDN]'IDeOFTT1ELABORCOOE.WTEREST,AN�ATTORNEV'SFEE4. RETENTIONFEE: �� � oCONSTRUCTION LENDING AGENCY PR ALT FEE: � IMfRCBVAFFIiLUUNOERPEN.LLTYOFGEiUURYiHATTHEREIS�CON5TP:1CT10NLENDINQACENCY r� t-I-3Z FOR THE PERFORAIANCE OF TME WORK FOR WHICH TMIS PERMIT IS ISSUEO(SEG]oG�,CIV.G�. C �{ /� w �\�^�f 7�7I' i � LENDER'SWWE ^ 1 ► • `� � C LENDERSAODRE55 �� ICERTILYTHATIHAVEREADTHISMVLIGTqNANDSTATETHATTME�BOVENFONAAT10NI5CORRECL TOTALFEES • � 1 AGREE TO COMPLY M7TH ALL C7Ttl AND COUNTY ORDiNANCES AN�STATE UWS REUTIN�TO BUILDiNO 1 � CONSTRULTpN,ANDHERE6�AUfMORIZEREPHESENT�71VE50FMI5COUNiYTOENTEflUVONiXE . Z ABOVE�MENTIONEDVROPEHiYFORINSPECTIONPURPOSES. 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