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CITY OF DIAMOND BAR
PRESS
`
DEPARTMENT OF BUILDING AND SAFETY
FIRMLY
BUILDING
PERMIT
JOBTE_
:� `.7
L�'
APPLICATION PERMIT
DATE 1 NUMBER
IUSE
!34�- CODE
ADDRESS c
< ilc \C. L� . a —
ISSUE_-' TYPE
—
OCC.
V
APN
LOT TRACT
DATE CONST.
GROUP
o
a
CROSS STREET
Q-
SETBACKS
I11FgOVEMEhs1S
El—
r
ZONING
OWNER
!
FRONT
FRONT
RW
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Z
ADDRESS �, j i i
�•Y"J C -�� ,5�--
REAR
W
CITY -
ZIPC V -7Q6 TEL..
SIDE/SIDE STREET
RW ❑_
a
APPLir'ANT �'� L L 5 1��PF�k �(X4 L❑—
o
c CONTRACTOR r i h���'lC°'2 SEWAGE ❑ PUBLIC
o ADDRESS .� (--`� -,n ISPOSAL ElPRIVATE
W CITY - ZIP cit' t TEL. �5
= STATE
W
LIC. NUMBER GRADING El CU. YDS. EXC.
a• E?.�=?� ._
y ARCH/ENG/ ! TYPE I SO FT FACTOR
`—' DESIGNER ��� i y^e��� t/7.ev� 5 1 I `I f�-
p ADDRESS I LL 2
CITY 11: Cd( , (Ifc-Ne"-' ZIP TEL3
PROPOSED USE li ��' ? 4
L i/ } ► G. _p GARAGE
o NO DWEL. NQ NO PORCH
�. UNITS _____ STORIES._— BEDROOMS
s I OT DIMENSIONS____-._ _____.—__--_-_-._--._._ CQ VALUATION
o NO OI RLDGIS ! KIN ;i IOUANTITY DESCRIPTION
= I ON I i -1i .. ---- ---- USED ---- ---- ---
Ir
x s _.
• ., .. . - A i A : .
=s
;CON S1 HL IC I!ON
c ' I
:PI AN REVIEW
' ' IPLOMBING
!Cj)�MFCHANICAL
Me c H jGRADING
a H ISSUANCE
WPARK FEE
LL;SCHOOL FEES
31 A A .. ,
----------------------
,°y L l pvrsmn of h•dusmal Safety Prrmn No
TOTAL
t FE E
d E /"�L rCC
e�
CONSTRUCTION LENDING AGENCY 1 hereby affirm that there a a construction Iendmp agency for the peformance O_—
= of the work for which this permit is issued (Sec 3097, Cry C)
C Lender's Narne ,�/
COMMENTS
m lenders Andress Pnr�
a t C
CfHfUg'ATF OF f. PLIA E AND AUT T OF ENtRy I 1 have read this appilatwn and state
VJ that Mein n give is correct i to ompN wM all a laws and city ordinances relannp to Mnldntp
rn ronslruchon, authors a represe rve the Department I BmWing and Safety to enter upon the prtperry
=
or
wNch I h e applied m thrs for Purpose of make mspecaons
PMT #
SO. FT./ 100 GAL
CU YDS FILL
ADJ. AREA
r
Av tur Applcant ar Agent _ paf RECPT NO 1 PAID BY '
WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN— Applicants Copy
93106-11189