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1t ^ �/ CITY OF DIAMOND BAR � PRESS
'-'�� ' ��J DEPARTMENT.OF BUILDING AND SAFETY
BUILDING PERMIT FIRMLY
JOBSITE APPUCATION PERMIT SE
ADDRESS I Il 1 5• C1-nn Hrl� � ��� -� SSUE Gr2� � � Ty�R�CODE •
� APN LOT TRACT� DATE �D—�-�� CONST. GROUP�
o CROSS STREET ��0.v�a n v,tQ �c•r �I vlYJ ' �TBqCKS � Q ,
= OWNER ��t-n�.LD, Tk��o �. ,.I�-ra5 ZONING
� ADDRESS <<�� S • Gr-auc11 �-y-e- qEqq 0
w CITY ' ^ ZIPgl1Il:,1_.TEL�(•ae(� SIDE/SIDE STREET RW ❑
g APPL►�ANT $��i C'�n( i�� TEL eLh1R L SIDE ❑ �
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` CONTRACTOR � B"`- SEWAGE
o ADDRESS ZS 1 cn �M��ti (--o u-�a l41���_ DISPOSAL a �B� �#
W CITY �0.�.t\k�v Z1P�v 6 7EL o•�3 ❑ PRNA7E SQ.FT./100 GAL
= STATE
y LIC.NUMBER �`f O�1. (� � GRAOING O CU.YDS.EXC. CU YDS FILL
y ARCH/ENG/ � NPE SQ FT FACTOR PS - AOJ.AREANALUATION ��>� .'
� DESIGNER �0.t^`'P •4 S �ow�v'�t�d � W 1 � �
� AODRESS {�`� '��-Q, � LL 2
Z CITY�- ZIP°«z 4�TEL (} 3
� PROPOSED USE � ` -Q Z 4
� � GARAGE
o NO.DWEL NO. NO. � ��A�
y UNITS STORIES BEDROOMS
� LOT DIMENSIONS � VALUATION ADJ.AREA
__.. .. ...
o NO.OF BLDGS HOW • ou�wrmr DESCRIPTION , � � ,. .;: FEE"<•. = '.': - ,, ..-..
W ON LOT USED Q
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4 ��w� '`. CONSTRUCTION
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X�p `��'"� ��}?�Q � RECPT NO. PA1D BY VAUDA
Sqiutw d fypcnt a Aqem On
WHITE—Department Copy,YELLOW—Finance Copy.PINK—Assessot Copy.GOLDENROO—Fde Copy,GREEN—Applicanb Copy
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