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HomeMy WebLinkAbout11677 ( ! J� CITY OF DIAMOND BAA , _ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVI �� 21660 E.Copley Drive Suite 190 '� � (909)860-3195 Fax(909)861-3117 � PRESS �'��A�°� BUILDING PERMIT APPLICATION FIRMLY o DDRIESS ��O� ��w�`�"� �� � APPLICA f PERMIT � P/C DATE NUMBER # c� ISSUE TYPE OCC APN LOT TRACTp DATE CONST. GROUP °C OWNER O �` ADDRESS 't�'i 1 Zl� ZONING SETBACKS w o �T�'—+ FRONT RW fl_. � CITY��,cww�.s..nl�� ZIP q176 c TEL. REAR �_ APPLICANT TEL. SIDE/SIDE STREET RW L] �, CONTRACTOR SIDE I7 _ O ADDRESS PROPOSED USE �1 � � � CITY IP TEL. +,�J�O � N w ARCH/ENG/ , � � � � DESIGNER NO.DWEL. NO. NO. � � AD�RES UNITS � •STORIES � BEDROOMS�_ � � CI ZIP TEL. � �' DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � p� OWNER-BUILDER DECLARATION SFR/ADD/REM , �' Garage/Carport p I MEflEBY AFFlRN UNDEfl PENALTY OF PERJURY THAT I AM EXEMPT FROM THE COYTRACTORS L (JA :�:.: l.il1: : 'e f? ',�.5\' •• f;•\ • , � ' . '. � ' (� U .'h�ti:�W'�� �:... �V �• •'M . 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