HomeMy WebLinkAbout1880 ''"� CITY OF DIAMOND BAR PRESS
`��,.� �• ' ' D�PARTMENT OF BUILDING AND SAFETY
�^� BUILDING PERMIT FIRMLY
JOBSITE APPIJCATION PERMR SE
ADDRESS � �� �� SSUE TYPE R,�COOE
� APN LO T CT__ DATE ' CONST. GROUP
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o APPLICANT G°lfG�'l.�'.�'� rGOr.cr'°� TELS��� SIDE ❑
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� CONTRACTOR � - c� SEWAGE
e ADDRESS DISPOSAI � �BUC PMf r�
W CITY ZIP TEL. ❑ PRNATE SQ.FT./100 GAL
z STATE GRADING ❑CU.YDS.EXC.�CU YDS FILL
y LIC NUMBER ___
y ARCH/E i - �— � Np� � � � � ADJ. AREANALUATiON �
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e ADDRESS Y (L 2 �
Z CITY — _ ZIP _TEL.� (� 3
� PROP05ED USE � Z 4
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� LOT DIMENStONS � VALUATION �v�'C9 AD,l.AF7EA
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reawn i$ec 70315 Busixfs and�roleuwns Code Airy nry a caunty wMch ra�ixra a pnmrt w construc� (J �
o alter improve demohsh.a rzpyr a�ry slrunve.pior tu ns uswnce.y�a requ+es ihe�ppMca�t�a sucA pmm� � ._"'.-- '.--�-'-'u------ '- `
F= �e f�k a sgnei su�ement Ifiit he is IKensM punwnt m�M pow�nns ol�he Contruooi s lKarue Law ICh+pe � t
� 9lcanmenc�ng wtth Secvan 70001 nf pn�ron 3 al Me Bus�rou mC Piolea�om Cadel m Mai he a eur�tlwcham � - 1
d and Me 6asis for me aNeged ernnOLnn AM r�datron af Ssuon 7U315 hy ary�pphant lor�pe,mn vbM[d � �
W the applrcant ta a[nd penalty of not rtq�e th�n IM hu1dred EpIWs 1550011 a -- f
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0 ❑I.as owner ol the paperty «my emphryw�wiM wagee u tlw�sol�compmfs0on wYl de dm we�k and
ih struture�s no�immdM ar olhred Ip uM ISec 704a&wneas and P�ohasun�Code TM Cmtr�ctp s ticenu q
� Law Aces rot applY io an owner ol proprly wM bnlds a impovu thc�eon.and who don�ucA woh hxnuN ()
' m ihrougn Ns awn employees prwided ihat suA�mpavemen�are nn mtsnd�d a oN�nd for saY If,howeuer, Z
m tM bwlAing m imprwemmt�s snW wiMm oix yer of can�lnan,Me ornw�hrl�w�X hwa the Nrden ot pravq .( �� �
y tha�he d�d noi hwN a�mprove fa ihe pwpax N n4) = j
va ❑i as mvne�ut i�e popenv am eu4wveM cOnlrxiny wM IKeMetl ConVMtoit b ta4tusi�N qqa�IStt � -�`� -' �
0 7044 Busress and Rolesswns Code The CmUxta s lKense l�xr does rot�pOly b an a�vrw ol paywtY wFa =. W �
� Wiks ar imprwes thereon an0 wAo contrxts fa wc�DmNe�s with a canrsmels)M��wswnt m tM Cmirumr s
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y �I IAe pomrt rs lar one huMrM ISI00)a kst 1 cnWY�m ihe prlqmeiee d N�waY Ip wlxch Mu •� �
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o W PARK FEE ___.._
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a Genwln�on u dismmtNrq tk.r' w.:Y �ne •a•.'r•�+� iu••nei+g :Qal� :il i�i :r i 5x
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¢ ❑°"'�'°"'"'�"°'�''`"`�'�'"° — TOTAL FEES ` 1 1 g
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y��d���a� RECPT NO��PAID BY��_VALIDATI f
WHITE—DepartmeM Copy,YELLOW—Finance Copy,PINK—Aaeesaor Copy,GOIDENROD--File Copy,GREEN—Applicar�Copy �
BS706-11/09
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