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HomeMy WebLinkAbout17100 J� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES E � 21825 E.Copley Drivc (909)860-3195 Fax(909)861-3117 PRE$$ '%�� BUILDING PERMIT APPLICATION ' FIRMLY o A DRESS LI SI KU �-k U��(�/�/ `-l'/`� DATE C�"l�DI NUMBER_I'1 l C� p�� Ol'3�� � ISSUE �-TYPE OCC � APN LOT TRACT DATE CONST. GROUP p OWNER - _ Ll�,t� ADDRESS ZONING SETBACKS Z CITY 21P TEL. FRONT RW ❑ ' o APPLICANT TEL. S DElSIDE STREET RW O � CONTRACTOR � SIDE ❑ Q ADDRESS c S L � CITY ZIP � TEI� - PROPOSED USE �'�-- o ARCHJENG/ w DESIGNER NO.DWEL. NO. NO. a ADDFiESS � CITY ZIP TEL. UNITS STORIES BEDROOMS v� �n DESCFIPTION SQ.Ff. FACTOR PSF ADJ.AREANALl1ATION p� OWNER-BUILDER OECLARATION SFR/ADD/REbt O p I HEREBY AFFIRM UN�ER PENQTY OF PERJURV THAT I AM EXEIAGi FROM iHE CANTMCTORS L4 � Garage/Carpart � ' W CENSEUWfORTHEFOLLOVlINOREASON(SEC.70]t.SBUSINESSM'DPROFESSIONSCODE:ANYdTYOR U COUHTYWNICHREOUIRESAGERMITTOCONS7RUCLALTER�PROVE.DEMOLISH,ORREPAIRANVSTRUC• W patiolDeck �-� � NRE,PRqR TO RS ISSUANCE,Q50 RE�UIRES THE APGLICANT FOR SUCH PERMIT TO FlLE A SIGNED W � STA7EMENT THAi HE OR SHE IS LICENSED PUqSUANf TO 7HE PROVISIONS OF TME CONTMCTORS LI� � CENSE UW(CHA7TER i(COMMENCINO WITH SECTION 7000)OF OIVISION�OF TME BUSINE55 ANO Pfl0• LL PooVSpa � � FESSIONSCOOE�ORTHATNEORSHEISE%EAIPTTHEREFPdAANDTHEBA515FORTMEAILEGEDE%EMP• C7 TION.ANYVqU1T10NOF5ECTION70.77.6BYANVAPPIICANTFORAPERMR5U8JLCT5THEMPLIGNTTO Z RB-ROOI '�. 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