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HomeMy WebLinkAbout14240 �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suiu 190 � (909)860-3195 Fax(909)861-3117 E$$ '��M'�� . BUQ.DING PERMIT APPLICATION FIRMLY oJOBSITE Z 2 6�� �p��Qv C,,--,���� APPUCATION _ PERMR f� i1 y p P/C ADORESS "��� DATE NUMBER �/OF N � APN LOT TRACT I �SSUE � TYPE OCC � - DATE CONST. CaROUP � OWNE��ZI��.I��U�U G�1SZ11�} ` p ADDRE,S$ ,Z2 `F� a �vl G �'o Zll9 ZONING SEBACKS � CITY �� � ZIP TEL. fl' -I FRONT RW O APPLICANT � I�P-JZI�O TEL.G��Jl1 REAF ❑ � SIDE/SIDESTREET RW ❑ CONTRACTOR ��� W U �D SIDE ❑ p� AD�RESS ��� � CITY �V 1 L�d� ZIP 17 TEL 3 I PROPOSED USE , � ARCH/ENG/ • DESIGNER NO.DWEL. NO. NO. ADDAESS UNITS STORIES BEDROOMS � CfTY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLARATION SFRlADD/REM O I HERE9Y AFFIRM UNDER PENALTY OF VEfWRV TNAT I AM E%EMPT FROM THF CONTMCTORS L4 GB�egB/C8ip0A CEKSEIAWFOfiTF1EFOLLGWIN6REASON(SEG70�1.6BUSINESSANDVROFESSIONSCOOE:ANYCITYOR (n COUMYM4AC11RfdJIRESAVEAYRTOCONSTPUCT.ALTF0.MPROVE.OEMOUSH.ORREVIURANYSTftt1C• �� W Patb/Dedc � -� --- —�--- - . . _ . 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