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HomeMy WebLinkAbout10937 (7) ",� / --�---�`"�-- CITY OF D[AYIOI�T�BAR /��' , r: '� j�;1�n: I I � I COMMUNTI'Y DEVELGPMENT DEPARTVIENT ''�' '� _ -, ,�..- -� i' F' �( ;'�,;.,;; 21660 E.Copley Drive 5uite 19D i' + / PRES•5• (909)860-3195 Fax(909)861-3117 r % BL7LDINGPE•R:vIITAPPLICATION f/ �/ �-��� FIRNILY o�. JOBSITE �j��"f ������,�.� ���J,. APPUCATIO��" -92 PERMIT /Q 3�J Pl�� 3zo ADDRESS l v DATE ��� _NUMBER _ # o� ISSUE TYPE OCC � APN LOT TRACT DATE �� � ��CONST. GROUP p OWNER S"ri4yJ jZ��S f//N{ S IQ��' p ADDRESS Z- i {� A�VF ZONING SETBACKS z CITY o N IP�[��TEL.8��-Z e�/�.� FRONT RW � _ /�'l /F'Ne�r TeL.S�R-�2Se.��� REAR — ��-- o APPLICANT Y. �_ ,�_�.G� � SIDElSIDE STREET RW G_ ¢ CONTRACTOR G�/,NA /�1�T �7/N��iC/� /NC SIDE _ '�� O ADDRESS�_���L n w��J �,A-�j�. PROPOSED USE %T�- � CITY �G�w���ZIP� TELSl�.-�3g�2e(S cARCHlENG/ -- � DESIGNER O NO.DWEL. YO. NO. � ADDRESS �S'd D D UNITS _ 3TORIES � BEDROOMS � CITY�iir ire �w.6.R-�f,ZIP TEL. � ,, . v' DESCRIPTION SQ.FT. 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SFR�ADD/REM � (� I HEREBY AFFIRN UNDER PENAL'.'V OF PERJURY THA'1.11A EXEMPT,:ROP.1 THc COtiTRACTORS LI-' � GafegO/CafpOrt ' ' iJJ C'cYSE:AVJFORTHE�O.LOW7h'GREASQY(SEC.703!.SBUSMESSR�DPROFESS:ONSC07E:ANYCITVOR _,� . z � COUNTYWH�F4REOUIRESAPEaA!IT70GON5'flUCT,AL'ER.IM127ROVE,D.:NCLISH,Oqfl'cPAIRANYSTRUG W Patio/Deck � .� � � TJRc',;RIOR?O I?3 ISSIiANCE,ALSO REQUIaES THE APPLICANT FOR S;:CFI PERNIT.'O FILE A S:GLED W � S"�ATEMEN'THAT HE Oa SHE�5 LICEM1SED PURSl1ANT'O TIiE PROV�SIONS OF TH�CCNTRACTORS L;- � CF.NSE LAW(CHAPTER 9(COhiM.ENd4G WITH.SEGilON700C)�0=DIVISION 30F 7H'c BU31N'cS5 AND PHO-' LL' POOVSPB FESSIONSCO'JE;ORTHATHEORSHE�Se%EIdPi7HEREr=ROMAN�iNEBASISFORTHEALLEGEDEXEMP- (� .� 'ION.AM1YV:CUITIONOf-ScC?ION70315BYANVAGP:JCAN��OFAPERMITSUBJECTST!1EAPPLIGANT70 Z Re-Roof A CN::PENN:'Y OF NO7 NORE T4AN FIVE Hi;�DRED DOU.ARS(55Co;.): 2. /� � :'.II,ASOVJ\'EROF7HEPROPEa'•'V.ORMYENP�JVE:SbVIT�WAGESASTHEIR50;ECOMPENSA'ION, COmITIBfCId �Y�� Z � Z W��l DO THE WOP.K,�AND THE STRUCTURE!S�O?IN i ENDEO OR OFFER J FOP SALf_(SEC.�04a.BU51- � NF.55 AfvD PROFc55!ONS CODE:'.HE CONTRACiORS LICENSE L�W 00_S NOT APPLY'O AN OVJVER OF ' P0.0PERT�WH0 BUILDS OR IM�ROVES iHEREON,AN'J WHO�OES SUCH WORK HR,ASEI.F OR H'cRSELF OR _ C[ 'H9Di:GHHI50RHEROWNEMPLDYEES,PflOVI�E�THAT5�CHI.MPROVEMEN750.R�NOTINTENDEDOR m - W GFF=RE�FO�SM.E.IF,F#7WEVER,THEBU�LOiNGORIMPROVEME��'T+SSOLDYJ�TH!NONEYEAROFCOMPLE� � j i ION,TH'e OVJNER�BUILDER W:LL HAVE TF!E BURDEN OF PROVM1G THA?ME OR SHe�1D NOT BLiLD OR = i IUPRO'lE FOR THE Pl1RPO5E OF SALE). 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