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HomeMy WebLinkAbout1252 (11) `' '"� �� CITY OF DIAMOND BAR "�
� x-' " ��cPARTMENT OF BUILDWG AND SAFET� F RMLY
� UILDING PERMIT
JOBSITE �\� ` � 1 TE CAn� �` �'� NUMBER ��CODE
ADDRESS �
ISSUE TYPE OCC.
K APN LOT TRACT DATE _ ��Q—�� CONST. GROUP
o CROSS ST E'�T ZONING SETBACKS ��
= OWNER FRONT RW �
� ADDRESS ''1 \ \ _� . ��f/t��_%(� R� ❑
W CITY —� ZIP TEL SIDE/SIDE STREET RW ❑
o APPUCANT TEL SIDE ❑
:
� CONTRACTOR SEWAGE
o ADDRESS � � Pl18LIC PMT s
DISPOSAL � pRIVATE SO.FT./100 GAL
W GTY ��t�g(',. 7iP��7T L�
z STATE GRADING ❑CU.YDS.EXC. CU YDS FILL
y L1C.NUMBER
N ARCH/ �i _ � TYPE SQ FT FACTOR PS AOJ. AREANALUATION
= DESIGNE W 1
o AODREss „ � 2
= CITY Z1P TEL � 3
� PROPOSED USE Z 4
� � 6ARAGE
o N0.DWEL . NO. j pORCH
y UNITS STORIES BEDROOMS
� LOT DIMENSIONS � VALUATION ADJ.AREA
o NO.OF BLDGS HOw Qurwrmr DESCRIPTION FEE '
W ON LOT USED � _
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o yter.unprne.demo4sh.a reprr xry suucwe.pia b rts es+urce.alsa iepures Ne�ppLcmt fo'tucA peaW .2
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K tlr applrtant b a civ�penairy d rot ma�tlun fm AurAnd do9a�s If5001.1. . . a
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th suatw�u rot x�tmd�d u dfered la saM 1�.]�.����a�um CoG.TW Lanv�cta'f l/c„w �a
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� a UraqA Me own employees.yw�Ocd that wch mpov�menu r�not etended a dkM la sW.It.AowMr. 2
aC tM duld�np a wnquYement n fdd wnhn on�Yea ol�ompleUon.th avna-GWde wil�m the Oudm ul VwYq �
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�"""�""� CONSTRUCTION
� Oi,m•..�v,�a.s« .e.er.cimu�nc«aWri. PLAN RE EW
o Die �"'"" ELECT
C W�iNERS'COMPfNSATQI UEnAPGTIW.I Iw�hy alfrm Wt 1 hn��rnWr�u W crosml m ull��uui�.n ..
� �ara��i.ot worAai Conpensuian Inwarce.a a eaa��cd wpr thaed ISee.3800.l�b.C.�. PLUMBING .��
4 `�c.u��a��n.�.r�i�.�e. J MECHANICAL
o ❑Lea1rG eopy n IJeO wM iM Buidnq Yupecuon Oepamrnt a av+�.��. Q GRADIN
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� NOTICE TO kPPLC?HT:M,al�r m�kinq tlus Ca4Luu d EmiWwn,You dwid becane u�ect t �w.�«•� u- SCHOOL FEES
_ Cmw�naoan Vonsims ol Oe Wa tod�.you mun IaNwah earyry wiN s�eA pwuw a tnu Derma itu� .
�- h deemed iexoked. r,,., r. fi rr
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aJe p�'ISIAN Of INOUSiBIAI SAFETI Pff1�4T LEfl �y,', �y t;�
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� wJ M m�de n ew�ecuon wnb wort rrtMr¢�0 bY O+e WmW.�n0 tlW ao hiwid�q Wuctue.scatblAn0.lys/work
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� CQNSTHUCTnN lEtOwG AGE�ilirreM.ittun�Mi wnb-�'c�ssiamKt�dn�pr�cy Ix d�prbm�r� TOTAL FEES � ��
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� i"'°"�'H'"" COMME (��
m i.�'�ned��u
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� LERTYGiF OF LOMPIWiCE IVIO AUTlOWUTO!OF ENTHY:I wuly 1 luw nd tl.s pprutwi id wr
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= lu whcti 1 Aan+odnd lor tlin vema kr tlr p�rpota d m�t.q�cmoc
~ x .1� G✓ ���- � 7�1�`50
�w���n�a�,� � RECPT NO. �L P/UD BY 'O ` VAtJDAT
WHITE—Department Copy,YELLOW—Finance Copy,PINFG—Assessor Copy,GOlOENROD—File Copy,GREEN—Applicants Copy
� BS106-11/89
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