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HomeMy WebLinkAbout15356 (13) CITY OF DIAMOND BAR � `, " ' �� DEPARTMENT OF COMMUNITY&.DEYELOPMENT SERVICES J 21660 E.Copley Drive Suitc 190 (909)86Q3195 Fax(909)861-3117 PRESS ��^�'�� BUILDING PERMIT APPLICATION FIRMLY o ADDRESS ��I��� I � �I35� � �UgL�� APPUCATION��(I_/"1�� PERMR I{� P/C OATE �II (�� NUMBER ✓ " � � ISSUE ��/1 `� �n I 7YPE OCC APN LOT TRACT DATE �� V v CONST. GROUP �j OWNER TR-t.�L-v 6.�OoD I�,D.A , ADDRESS ZONING SETBACKS � CITY ZIP TEL FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOfl �J 1J ��F �C�� Tf�L. SIDE O ADDRESS h - ' � CIIY NiSSion llir:n ZIP TE aN91�IS�'�XI40 PROPOSEDUSE � �;' � ARCWENG/ DESIGNER N0.DWEL N . NO. AOORESS UNRS � STORIES BEDROOMS �N CITY ZIP TEL DESCRIPTION SQ.FT. 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ISSUANCE �ir��II`r�5� - �/� � p O�tE� �"1'VlJ APRIGANT. SMIP y 6 LL J ENERGY P!C WAANW4 FAILURE TO SECURE NOpKE0.S'COMVENSATqN COVEMGE IS UNUWFUL ANO S/WL BE �J—y SU6IECTM/EMPIOYEHTOCRIMWALGENALTIESANDCM�FwESUPTDONEHUtAi7EDn1IX15AND ENERGYPERMIT DOiL�RS({f OD,OW�,N ADW i�ON i0 TNE COST OF COMPENSATIDN.OMUGESAS PROVIDED FOfl IN ¢ SEGTION97WOFTMEUBOALOUEMITEREST,lJIDATfORNEYSFEES RETENTIONFEE W CONSTRUCTION LENDING AGENCY PpE-ALT FEE: n. 0 � INEREBYAFFIRMUNDfRDENKTVOGVERJUNYTUTTMERELSACONSTRUCTiONIENDW6AGENCY Z FOfl THE PERFOiiMANGE OF TME WORK FOH YnuCH TH�S PERMIT IS ISSUED(SEC.3097,GV.C.). W � LENOEfiS NAME � LENOERSADORE55 �j7 � ICERTiFVTMATIluvERFJ�DiMiSMPIICATqNANOSTATETFI�TTMEABOVEwFORA1AiqN15CORAECT. TOTALFEES �/ �� W IAfIiiEETOCdAPIMWITNAl1G1YMWWUNPlOF7DwANCESAIWSTATEUWSREUTWOTOBU0.DW0 ' � CONSTRUCt10N,ANDHEREBYAUT110HiZEREPRESENTATNE50FTWSCOUNTYTOENTERUPONTME Z �.�,��T�EovtiovEancoAu+sPEcranwavosEs. 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