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• CITY OF DIAMOND BAR -- f� "—� DEPARTMENT OF COM;v1UNTTY&DEVE" E T � .�w�„�. � 2l6C0 E.Copley Drive Suite]90 A'� (909)8G0-3195 Fax(909)861-3117 �R�$S `�����'�.� BUII.DIIVG PERMTT APPLiCATI01� FIRMLY y JOBSITE ��j �; ' ��f�� APALICATiDNY� p- � PERMI'C j-�� `•� '� '�'�J o ADDRESS �'�`f , . �� `� DATE I � '_�e_IVUMBEF� `�� pI C � �� � ISSUE � TYPE OCC APN j,���L 7 T ACT DATE �.,,,,, CONST. GROUP p I OWNEA �+ � • p ADDRE� � � ZONING S�TBACKS • P��ED gCITY ,ZI .,_ � TE�. IL,S � REART �' RW � � APPLIC 'F • TEL. SIDE/SlCEST �l�' "�� R�/y � � CONTAA TOR ' _. ' SIDE _n_-q,� � _ o ADDRESS ?ROPOSED USE � � � � � CITY ZIP__ TEL._,_ � � ARCH/ENG! �2 pE51GNEFi -- N4.DWEL. NO. NO. Q. ADDRE55 __ .-.. -- UNITS �. STORIES B�DROOMS � CkTY � ZIP TEL. T ua DESCRIPTIOIV SQ.F�'. FACTpR PSF ADJ.AREANALIiATION pC OWNER-Bl11fDEA OECL4RATION SFR/AD�lREN: � I NERE6Y AFFIRIw UNDE0.PENALfY OF vE0.NRY:HA?:MA EX'c1AP'FRCM'��E C70N7PAL'TORS L�- � q � Garaga�CarpoA W CENSELAWFORhIEFOLLOWIN6REASON[SEC.703:.SR115:A'E55ANUP�iOFE55'4'N4CODE:ANvCI:VO.i C.� COUNTY4NICHFFWIIi�SA�ERMTNCOKSfaUG:,?_T=H.IhIPaOY�.�=MOL:SH.OqA�7AIRANY57RUC- �t�i � SURE.PLWA TO IT9 155UANCE,AL.rO HEQIfIRES T.+E AoPLICA'tiT FOA SUCH PEFIJlI'.TO F.LL-A Slph=�] w° Pa�ia�Deck a�MEMENi rHAT HE OR SN�IS L:CEtr'SEO PUR$UAVT TO'HE Ppp415:OV5 0='�1E CO.�TAM1C�DP,S LI- � C[NSElAW�aqPT�Re;COl�IMEYCINOWITMSECT:QY'I000)OFpIV15�ON90F7N�q;;5itie5$ANOppp- �' PcoUSpa i FE&SIONSCapE)�THA'HEpfiS:1�I5EXEMP:TH_R�F�70MN�pTH[BAS�SFQq'NEA':�G=�=%EMP- (� V TION.ANY4�OiATiONOFSECTiON�oai�9YAN�AP71CAN7FOP.A�CRM�T5:i3JEC�G?'MCAFP�_CA�T:p Z RB•ROOf � � ACIVILPENy�Ty pF Hp7 MORE THA4 FIVE HI:��RED DOLlARS ISS�].y: � Ci,l�SONR[E�iOFT!<EPflOPERTY.ORMYEM.PI.OYEeSW1'1W�SGCSAST`�EIR;ALCCOMPENSA'ION. 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