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HomeMy WebLinkAbout13213 (27) � CITY OF DIAMOND BAR -- -- DEPARTMENT OF COMMU1�iITY&DEVELOPMENT SEF:VICES.� ��' 21660 E.Copley Drive 5uiu 190 � (909)8603195 Fax(909)861-3117 /� PRESS 'N^'�� B[JII.DINGPERMITAPPLICATION . FIRMLY � JOBSITE 1 Q Zr_ .� �� APPLICATION r ��r � PERMIT /C o ADDRESS � `� � .7 K�L.L DATE `���`J' � NUMBER� � APN LOT Z TRACT �-7� ZZ-- DATE ONST. GROUP p OWNER p ADDRESS ���{p_�IA �<�1Q � ZONING SETBACKS � CITY ZIP TEL FRONT RW ❑ APPLICANT TEL. REAR p � SIDFJSIDE STREET RW O CONTAACTOR � ST NS�T r SIDE p g ADDRESS PROPOSED USE o CITY ZIP �1 STEL. 8 � ARCHlENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION 50.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLAFiATION SFR/ADD/AEM O p I MEHEBY AFFIRM LNDEN PEWLLTY OF PERRIRY THAT I AA1 EXEUPT FROM THG CONiMCTORS U• Ge�g�A�rt lll CFNSEUWFOqTNEFOILOWINaHfA50N(SEC.70.71.6BUSwE55ANOPiqFE55lON5CODE:ANYpTYOR (n G? 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