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HomeMy WebLinkAbout12345 (14) CITY OF DIAMOND BAR" ' � -- DEPARTMENT OF COMMUNITY&DSVELOPMENT SERVICES _ .,�� 21660 E.Coptey Drive Suite 190 (909)86D-3195 Faz(909)861-3117 ; PRESS � ��M'� , BUII.DING PERMTI'APPLICATION � FIRMLY JOBSITE �? /� APPLICATION- �y �f r PERMfT P/C o ADDRESS �J � �e M v � DATE v�v ��NUMBE � # ' � APN LOT Z- TRACT S ATE � v��u 'ONST. GROUP p OWNER .TC�L HM�t S � o ADDRE�S ��}�O 1 Qf rQM-CL V � ' ZONING SETBACKS � CITY ���ra�c.� z�Pg� ��3ros�o�'�o �°R -. RW p APPLICANT TEL SIOE/SIDE S7AEET-- � RW - � � CONTRACTOR �- t G. SIDE � • - ❑ � ADDRESS � • � CfTY ►'ti ZIP TEL '2.ZS0 �}� PROPOSED USE . _ _-- � ARCH/ENG/ , � DESIGNER NO.�WEL NO. NO. . ADDRESS - UNITS STORIES BEDROOMS ' - � CITY ZIP TEL uNi OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION _ � OWNER-BUILDER DECLARATtON . .- SFR/ADDIREM O _ _ . . p 1 HEREBV/�FFif W UNDER PENILtY OF FERIUM fHAT 1 MI EXEUPT FRO�/iHE CONTMCTORS LL GereqB/C91pOrt - . . 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