HomeMy WebLinkAbout1511 (19) ', - .
'"` CITY OF DIAMONDj`BAR pRESS
� DEPARTMENT OF BUILDINr,AND SAFETY
BUILDING PE►`;,{AIT FIRMLY
JOBSITE � APPLIG%;ION Ir1 RMIT E
ADDRESS DATE r V NUMBER CODFS
ISSU�j TYPE OCC.
> APN "—'+' LOT -- TRAC7 DAT� CONST. GROU���
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o CROSS S REET ;:ONING SETBACKS "��
� OWNER FRONT RW �
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W CITY IP TEL SIDE/SIDE STREE7 RW ❑
o APPLJCAN L SIDE ❑
a CONTRAC70 � ` SEWAGE
o ADDRE ISPOSAL ❑ �SUC ` ��
W CITY ZIP �. O PRNATE ''SQ.Ff.1100 GAL
z STATE GRADING ❑CU.YDS.EXC. CU YDS FILL
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�_" ARCH/ENG . � NPE SQ FT FACTDR PS ADJ. AREANALUAT�ON
� DESIGNER I'� r� S� W � ' S
� ADDRESS 2
� CITY ���� - ZIP � TEL. 3
� PROPOSED USE z 4
� � GAflAGE
o NO.DWEL. NO, NO. � pORCN
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s LOT DiMENSIONS VALUATION ADJ.AREA
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� �"'°"''"'"" COMMENT'S
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SpuM d App6cnt a Aq� pw RECPT NO. PAID BY VAUDATIOPI
WHITE—Oepartmant Copy,YELLOW—Finence Copy,PINK—Auessor Copy,GOLDENROD—Fib Copy.GREEN—Applitams Copy
BS108-11/89 .
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