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HomeMy WebLinkAbout16418 (34) r , �� �� CITY OF DIAMOND BAR ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' l _„� _ 21660 E.Coplcy Ihivc Suite 190 . (909)660-3195 Fax(909)861-3117 PR ESS �^^' . BW.DING PERMIT APPLICATION FIRMLY � JOBSffE Z��7� / APPLICATION PERMtT p/C o ADORESS G( � e� DATE � NUMBER I � APN LOT TRACT DATE � CONST. GROUP p OWNER . �- " ADDR SS 2 7 ' l� U �h� ZONING SETBACKS � CITY��__\�S�`�ZIP C`fEL. l 3 Z� FRONT RW ❑ APPLICANT ��T C 1��{fL. 3 --76 REAR p � SIDE/SIDE STREET RW ❑ CONTRACTOR �- SIDE p ADDRES � g CITY_ � O'✓�� ZIP�EL PRO`�S`�1SE Ei ' � w ARCHlENG/ Y �� ADSR SSR NO.DWEL � - -f� �NO. �� � � NO� Cm, Z�P �L UNfTS �STORIES BEDROOMS ti y DESCRIPTION SQ.FT. 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ISSUANCE � . O — p DA7E: APPLIC�ANT. SMIP � WARMN�:i11dURETOSECUREWORNER4COMPENSA1qNCOYEqAGEtSl1NUWFUI.ANDSHAIIBE ENERGYPlC �'y 6UBlCMANEMP�OYEFT000.IMWALiEWLLTtESNJOCMLFWESUPTOONEHUNORED7410USAND ENERGYPERMIT DOLLA1iS�tl 00,000),N ADDITON TO THE COSi OF COMPENSATION,DAMnGES AS PROVIOED FOR IN B�� � BECT�DN�70eOFTNELA80RCO0E,H7ERE5T,11N0ATTORNEY'SiEEi RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � INEREBVAFFlRMUN�ERPENKTYOFPEFLNRY7HATTHEREISACONSTRUCTONLENDWCAGENCY FOR THE YERFORAIANCE OF iHE W01iK FOfl VM1CH iH13 PERMIT IS ISSUEO(SEC.ioW,CIV.G.} � � LENDER'SN�ME ' ' . S � LENDER'SADDRESS � TOTAL FEES I`��5� l (� � I GERTIFY T1uT I MAYE RE�D 7NI5�FPt1CAM7N AN�STATE THAT 7HL 1180VE INFORAIA7ION IS CORRECT. W IAGREETOCOAIPLYWfTHALLCI7YFNJCOIMiYOR�WANCESANOSTATEUWSREU7WOTOBUL01N0 � � COHSTRUCTpN,ANDNEREBYAIlflqRREP[PRESENTATIVESOFTWSCOUNTYTOEHTERUPONTME � �BOVE�AIEM%7NEDVROPEHTYFORINSPECTIDNWFPOSES COMMENTS � ����� sfi ¢ PEPMi7TEF cn � - O� � SIONANREOFPERMIiTEE DATE � RECPT.NO. • PAID BY VALIDATION WHITE—Oepertment Copy.YELLOW—Finer�ce Copy.PINK�Assessor Capy.GOLDENAOD—File Copy,GHEEN—ApplicanYs Copy y.�,�, �)�':�r. � � •v' .-s,,.,, :..n �.�. , ...r',.wt'��K :e't.:�� ,•� , .a;• . , , � '�,_. . . .. . . ., . r. .. :i:�,u-.�•a. , , •�' - , . . .. .. 'f� ' ° . � � CIT.Y.OF DIAMOND.BAR . , ., „ . „ " - -- �' �...; -...� ...._ . . , �ItJSPECTiIOf�l:RECORD . , ., , , . _ . :� .. . . 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