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HomeMy WebLinkAbout1625 � ciT r ��� �i�-�f � l Y OF DIAMOND BAR pRESS � }' � � DEPARTMENT OF BUILDING AND SAFETY SUILDING PERMIT FIRMLY JOBSITE APPLICATION �n PERMIT SE �� �� G 1�f l7 �D. DATE — `-'I� ADDRES � ���E TM�E �CODE � APN LOT T�CT DATE % ����,�.CONST. GROUP o CROSS STR � +� = OWNER ' .�li C ZONING SETBACKS ��s FRONT R'W [[j � ADDRESS � 3 � `W�ufH D R� � W CITY ZIP TEL7 �d' 3 SIDE/SIDE STREET Ryy ❑ g APPUCANT__� AU�`� 'TJ'�TE� '� SIDE ❑ _ c Q CONTRACTOR o ADDRESS � � G ! SEWAGE ❑ PUBUC PMT� DISPOSAL ❑ pR�VA7E SQ.FT./100 GAL � C ZIP TEL � = STATE y LIC.NUMBER GRADING ❑CU.YDS.EXC. CU YDS FILL y ARCH/ENG/ �J �-- � TYPE SC1 FT FACTOR PS -_ADJ. AREANALUATlON--- -- � DESIGNER �"� `W 1 ,� � o l,DDRESS � 2 . = CITY ZIP TEL � 3 ,, � PROP�SED USE - !� - Z 4 " r � GARAGE = NO.DWEL NO. NO. � PORCH �, UNITS STORIES BEDROOMS s LOT DIMENSIONS � VALUATION qp�,qREq - - . o NO.OF BLDGS HOW ounrrTrrY pESCRIPTION FEE W ON LOT USED - ¢ � � W 2 ¢ ~ IICENSEO CONTqACTpFiS OECLANATION I lwehy rthrm that I�m kenNd Wa wovuwrs W Wpyr 8lwmrc � Y wan Saoan 7DC01 oi�vwan 3 oi tlu&ou�u ad Vrdcssw Co4.�nA�keme r�hY laa ad dfccpt W . 3 w • ,� �- Q. BUILDEfl DE0.AAAt�N I her�dfum tlut I xn e.emp�hom pN Lona�cw's lcenu lrv lor ry tdlow+ng . = reason ISec 70J15.&wneu ud ad��Lode AnY uty a tantY wluN«pw�es�ppma to[onstra�. 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