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x ., - �� CITY OF DIAMOND BAR ' � • - � �f" DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES f�" 2]660 E.Coplcy Yhivc Suite 190 � � (909)86a3195 Fax(909)861-3117 PRESS �'^"�. BUQ.DING PERMIT APPLICATION , FIRMLY o ADDRIESS��� _ D 1 fFVh jZV1L� Rtx� IJ L V D DATE CATION'�`��� O� NUMBER' -L� p/C J � APN LOT T CT DATE t�^ I�'� l/� ONST. GROUP p OWNER � L � ADDRESS PJ. C A �. � ZONING SETBACKS • w FRONT' � RW ❑ � � CITY 1 I ZIPqQ�.I tl TEL �" �t RF1�A p APPUCAN7 r TEL�lOq�.�..'�iy SIDE/SIDESTREET RW ❑ � CONTAACTOR 1 t- SIDE - p ADDRESS PROPOSED USE ri� I �� �C�� V 1'e- o CITY � C,ZIP��TEL. 0� . —T- 1 � t I Y�G� C1�p � w ARCH/ENG/ • � , a` -�' Y�P.►�. ►v�n v u w..�L►n. DESIGNER IZ LE�-TQ-�L NO.DWEL. NO. NO. ADDRESS ��i kl..-�r� V�- ' UNITS STORIES BEDROOMS � CITY .ZIP 1�STEL�e�L,-�-�LV-.�- y DESCRIPTION SQ.Fl: FACTOR PSF ADJ.AREANALUATION Q OWNEFi-BUILDER DECLARATION ' SFR/ADD/REM O � p I HEREBY AFFlfY UPIDER PENALTY OF Ff0.A1RY THAT I F��EXEY�T FRo11 7NE CONTAAC70H4 L4 Garaga�Carport _ � � lli CENSEUWFOR7HEFOLLOWNOREASONISEG70.77.68USWESSnNDPROFES5i0t�5CODEANYCT'Oq (n ' � �OIMiYYMIf]/REQIWESAPEAYRTOCONSTRUCT,ALiERIUPROVE.0E1dOL15H.ORREPAIRANYSTHUG W Pdlip/pBCf( ' 7IlR�PROH 7D R915S11ANCE,AL50 fiE0UWE9 THE MPLIGHT FOR SUCH FERWT TO F0.E A SIGNEO � 'STAT4YENT h1AT HE OR SNE IS IJCENSED PURSUANT TO TNE FROVISION4 OF THE CONTMCTORS U. 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' : ' W �t�40VMEROF7HG DROPERTV,AN E%CWSNELYCONTIUCTWO WRX LICENSED O]NiRAC7OR4 ¢ i0 CONSiRUGT THE PIpJECT ISEF 70sa.BUSINE55 AND PROfES510NS COO@ TME CONiMGTOR9 U•� V01u0tlOR ADJ.AREA � � W CENSEUWDOE9NOTMPLYTOANOWNEqOFAPROPENTYN��OBUIL05011I4PilOVE4THEREON,HJO � WHOCONfRACT3FOR5UCNVRDJEGR5IMTMACONTMCfOR(S�LICENSEDPURSUMfTTDT/ECDNTfUG pUANT1TY 'DESCRIPTION FEE.. '. � uc e uw.F p � /y � IXEYPTUNpEHSEG &�P.C.FORTMISREASON � �V � � ��� C�� �V/� � K . . ¢ � � O � CJ DATE � � OWNER V � LICENSEDCONTRACTORSDECUWATION � • W � �\ �.{ :,,:�`.� `�,.\'"�'�\'�\' � IMEH�YAFFYWUNDERPENKTYOFDEiWRYTHATIANLICENSCDUNDEIIPROVI5qN50FCMADTER Ur ' � � � Y�CpWENCYqN77HSECt10N)ooa�OFOM5iON70FTHf0USwE55/WOPROFES510NSCDDEANO Z MY 110EN5E�S N FIAL FORGEAND EFFEGT. m � UCENSECLASS 11C.N0. j �j DATE . . . CONTMCTON a W � WORKERS'COMPENSATION�ECLARATION ; . N ... r U . . . . . . . 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