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HomeMy WebLinkAbout14149 (17) _, __... . i _ --_ . _ _.__ .. . ._ .__.. . .. _: .... . , .., � J� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES c 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS . ���� BUII.DING PERM[T APPLICATION FIRMLY � JOBSITE ' ��N APPLICATION/b /l QG� PERMfT /� P!C o ADDRESS DATE � NUMBER N � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER u' ADDR S n ZONING SETBACKS W CIN ZIP I T . D ��9G-'��' FRONT RW ❑ APPLICANT _ �Q- TEL SIDE/SIDE STREET ' 1' " RW O CONTRACTOR SIDE ' ' ❑ g ADDRESS ' PROPOSED USE � � CITY ZIP TEL � ARCHIENG/ • (� DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS yN CITY ZIP TEL DESCFiIPTION SQ.FT. 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RETENTIONFEE: oW„ CONSTRUCTION LENDIN6 AGENCY PRE•ALT FEE: � IMEIIEBYAFi1RAlUNOERiEW1TVOF0EIWRYTHATTNEREtS�CONSTRUCTqNLENDINOA�ENCY Z FORTHE GERFOHMANCE OFTME WORN FOR VMICH 711I3 VERMIT IS iSSUED(SEF 9oD7,GV.F�. W � LENDEA'SN�WE � LENDEF'SIDDRESS C , O � 1 CEflTIFY hUT I HAVE REID iH15 APPLICATION/ND STATE THAT iF1E ABOVE NiOPIAATION IS CDRRECL TOTAL FE GS � � IA6REETOLOMVLYMATIALLCrtYIWDCOUN7YORD�NANCESANOSTl1TEUWSREUTIN6TOBUMINO CONSTRUCTION,AND HEREOY AUiHONIZE REFFESENTATIVES OF THIS COUNTY TO EMER UOON 1NE �. ABOVE-1AENTIONEOFNOPERTYFOPI aecTarrvuAvosts. COMMENTS � O .� � m FERMfiTEE�'�f NMI ' / c�_n �-�//i.k_ � (,/) bIGNATU PEHMI ¢-r�— E RECPT.N0. PAID BY VALIDATION � WHIT[-0eparlmeM Copy.YELLOW—Finence Capy,PINK�Assessor Copy,GOLDENROD—File C:apy,GREEN—ApplicanPa Copy � �.. . .f�:_. . ' , '�'•',�- ^ ".�27�. . + :n., .. , . _. ..._ _, ... ..... .,... ..,� .. .. . . .. . . ., .. . .. . . . .. ... � . � . � . . . ,�� �� CITI� OF Di/af►t10hID,BAR .;., :. ' .__ ,_ . , . 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