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HomeMy WebLinkAbout12111 (14) i ._ _ . . i � . � � CITY OF DIAMOND BAR � • � �' /, � - J� - - DEPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES f �� Zi�oE.CopleyDiivesuiccl90 � PRESS ����� BUILDING PERMIT APPLICATION .• FIRMLY o� JOBSITE ��---�� �mera ! � DA�ICATION-- �.3 NUMBEFI � erC ADDRESS , $ ISSUE . TYPE OCC APN LOT TRACT DATE ' CONST. GROUP , p OWNER p ADDRESS • ZONING SEBACKS W CITY ZIP TEL �J � FRONT RW ❑ � APPLICA � TEL R�R O � SIDFJSIDE STREET RW O CONTRACTOR SIDE ❑ � ADORESS PROPOSED USE CITYZ�� ZI TEI� - � Pu ARCH/ENG/ • • � DESIGNER , NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. 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J NESSAHO VPOFES610Nu COOE:iXE WNTMCTOR9 UCEHSE UW DOCS NOTM7LY TO/N OWNER OF � iROPERTYY'MDBUIDSORYVROVESTHEREON.ANDMM1/ODOESSud11WRKHIMSEIFORHERSfLFOq� � m (C 71w0U6HNSOHMEROwNEMVLOYEES,PROVIOEDTUTSUCHWPROVCMEMSMENOTNTENOEOOR .. .. � _OiiFPEDWR9AlEF.MOwEYER��pN60RMPROYEMEMI550lDWITMNONEYFAROFCOUVLE� TqN.THE OWNER�BVILDER WILL MAVE 1HE BURDEN OF PROVPI�THAT ME OR SNE D�O NOT BUIID OR � �IVRDVEfON7HEVUHPO5EOF9ALE4 O l�OwNER OF iHE FROVERf`!.AY FYCLl15NELY WNiMCTNO WRH IICENSED CONTRACT01tS � TO CONSiRUCT 7HE PRQIECT(SEC 7oa�.BUSINESS AND GROFESSiONS CODE TME CONiiUC70R5 LI• V21u0tW11 ADJ-AREA � CENSEUWDOE9NOTMPLYTOANONR7EROFADROPERTYWFqBURD50RIMPROVESTHEREON.IIND WNpp01lTRAGTSFORSUCHPRQIECfSMAi11ACONTMCTOR(5)LICENSEDPURSUAMTOhIECONTRAG QUANTITY " ' DESCRIPTION FEE � TDI�S UGENSE UW.} � J O 1 AL EXEYPf UlIDER SEG B.l V.C.FOR TMIS REASON � � � . ' . . . 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