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HomeMy WebLinkAbout16807 (40) �� CITY OF DIAMOND BAR C�/ --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � si�o c.coPi�y n�;��s�c�i90 PRESS � (909)864-3195 Farz(909)861-3117 ����� BIJ�.DING PERMIT APPLICATION , FIRMLY N JOBSITE /j�� //'j�,., }� APPLICATION i�� PERMIT P!C o ADDRESS �I� �' `� S � " ' • DATE ����L�NUMBER U k O �rZ � ISSUE /�� TYPE OCC, � .- APN LOT TRA DATE K/ �CONST. GROUP p OWNER � p ADDRESS� • ZONING SETBACKS "' CITY ZI TEL Z FFONT RW O � APPLICANT TE � REAR O � SIDElSIDE STREET RW O CONTRACTOR �_ SIDE ❑ � CnDRESS Z�P TEL PROPOSED USE 6 � ARCH/ENG/ � PY �. t ' DESIGNER N0.DWEL. NO. NO. ADD S UNITS STORIES BEDROOMS � CfTY ZIP TEL N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � ¢ OWNER-BUILDER DECLAFiATION SFR/ADO/REM 0 Q I MERE9V AfFtii�A IJHDER VEWLLTY OF PE0.RIRY TNAT 1 MI EXEMFT FROM THE CONTMCTORS L4 GaragdCarport LLI CENSEUWFORTMEFOl10M1NNGREiISON(5[C.70.tt6BU51H[SSANDDROFESSIONSCCOE:�M'CITYOR (/� C� COUHTVWNIq1PE0URE5AVERMRTOCONSTRUCT,ALTE0.M���,DE�IOUSH,ORPEVAIRANYSTRUG W PatiolDeck u� TURE,PRqR TO RS ISSUANCE,KSO REWIqES TNE APPLICAFfT FOR Sl1CH VEiWIT TO F0.F A SICNED W � STAiEIAENT lfuT NE OR SME IS 110EN5ED PURSUANf TO 1HE PROVISIONS OF iHE CONTMCTORS L6 � CENSE UW(RUPTER i(C061MENCIN(1 WI7M SEGTqN 70o0)OF OMSION]OF 7HE BUSINE55 AN�PRP LL P�USDa FESSIONS CDOE)OR TIUT HE OR SME IS EXEMPT iNEREFRW IW�iME BASiS FOR THE IiLLEGE�E%EMv. TION.ANYVIOLATIONOFSECTION7W1.68YANVAGPLICANTGOqAPEWAITSUBJECTSTHEAiPL1CA1liT0 Z Re-Rool F ACML FENALTY OF NOT YDRE 1fUN iIVE MINDHED DOLU0.S({`+�71: � Ot��EROFTHEPROPERTV,ORWE�PLOYEESMnTHWACCSA:7HEIRSOIECOMPENSATION. O CpmmBfttal �,�. 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