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'"'' CITY�:OF DIAMOND BAR pRESS
� '-•" ' DEPARTMENT OF BUILDING AND SAFETY
� • ' BUILDING PERMIT FIRMLY
JOBSITE APPLICAl10N PERMR �, �� SE
ADDRESS � 3 ��� � r+� �SS�E Q N�R v �CODE
� APN OT T T DATE �� � � `� CONST. GROUP
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e CROSS STREET � ZONING SETBACKS ""�'�"'s
� OWNER FRONT RW ❑
� ADDRESS R� ❑
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o APPLICANT TEL SIDE ❑
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� CONTRACTOR , SEWAGE ❑ pUg� p�#
o ADDRESS — � '� DISPOSAL ❑ pqNATE SQ.FT./100 GAL
W CITY Z�p a . �� a3•d
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d UC.NUMBER
y ARCH/ENG/ � NPE SQ FT FAGTOR PS --.ADJ. AREANALUATION
� DESIGNER � W �
� ADDRESS LL 2
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z CITY ZIP TEL (�} 3
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PROPOSED US ,
� � GARAGE
o NO.DWEL� � N . NO. � PORCH
y UNITS STORIES�BEDROOIvIS�
� LOT DIMENSIONS m VALUATION ADJ.AREA
o NO,OF BLDGS � HOw a�A� DESCRIPTION � FEE �
W ON�OT USED Q
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� ��^u�� ' CONSTRUCTION
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o ` 4 , / W PARK FEE
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..+ � SCHOOL FEES
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