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HomeMy WebLinkAbout14324 (17) � � ` _�� CYTY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � _ � . 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS � �'� BUII.DING PERMIT APPLICATION ___ , FIRMLY � JOBSITE ��0�.� .CtCO f7 . �/ ` � o ADDRESS APPLICATIONJ / PERMIT ?,�!. p!(��s DATE ! C ��� NUMBER� �e � #� � APN LOT TRACT �SSUE TYPE -� OCC p OWNE�L�1v''F � DATE CONST. GROUP o ADDRESS Z ZONING SETSACKS w CITY tJ'EL. FRONT RW ❑ � APPtICANT TEL. REAR ❑ � SIDE/SIQE STREET RW ❑ CONTRACTO SIDE ❑ ADDRESS � CITY �.COl�G�T ZIP TEL. � PROPOSED US O E/!/ %7' w ARCWENG/-T� �- � z' DESIGNER � �X � ADDRESS NO.DWEL. NO. � NO. � CITY ZIP TEL. UNITS I STORIES BEDROOMS m rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADDiREM O p. 1 HEREBY AFFlHM UNOER PENALN OF PERJUflY THAT 1 AM IXEMPi FROM THE�CONTRACTORS LI� GafE1g8/C8fP011 � IJ,1- CENSELAWFORTMEFOLLOWIN6flEA50N(SEC.7Wt.58USINESSANDPROFES510NSCO�E:ANYCITYOft (n C� COUN7YWHIp{REIXIIRESAPERMITTOCONST(il1CT,ALTER,�MPq�VE,DEMOLISH,ORREPAIRANYSTAUC• / � TURE,PRION TO ITS ISSUANCE,ALSO RC-0UIRES iHE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W 0tI0/DBCK Lf� ��� .P � 9TATEMEM THAT HE Ofl SHE IS LICENSED WRSUANT TO THE PROV1510N5 OF THE CONTfiACTORS L4 � �- CENSE LAW(CHAPTEfl 9(COMMENCINd WiTH SECTION 700D)OF OIYISION 3 0F THE BUSMESS AND PHO. 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