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- ��'� CITY OF DIAMOND BAR ( /�G ,�L��
COMMUNITY DEVELOPMENT DEPARTIvIENT �% �
21660 E.Copley Drive Suite 190 pRE�+�
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� SUBlEC7AN EMPLOYEN TO CRIMINAI.PF.NALTIES ANO qVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT
DOLLAR3(5700.000J,IN AD�ITION TO THE COST OF COMPENS�TION,DAMAGES AS PROVIDEO FOR IN
�_' SECTION37080FTHELABORCO�E,MTEREST;AN�ATTOftNEV'SFEES �� RETENTIONFEE:
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w I CERTIFV THAT I HAVE READ THIS APPUCATION AND STATE THATTHE ABOVE INFORMATION IS COftRECT. TOTAL FE ES , - � � ' _ -.`S��
� 1 AGREE TO COMPLY WI7 H ALl CITY AND COUNTY ORDINANCES AN�STATE tAWS RELATING TO BUILDING � . . .
� CONSTRUCTION,AND HEREBYAUTHORI7F PEPRFSFNiATNES OF THIS COUNTYTO ENTER UPON THE , �
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