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'"� CITY OF DIAMOND BAR pRESS
' DEPARTMENT OF BUILDING AND SAFETY FIRMLY
� BU(LDING PERMIT
JOBSITE n p�CA�� NUMBER ���� CODE
ADORESS 'sZ-� 4rcnf ��ll�
ISSUE r ( TYPE OCC.
� APN LOT TRACT DATE "1������ CONST. GROUP
o CROSS S ET 0 h ...+o��ns
= OWNER �1 zC�' 20NING ��CKS � �
� ADDRESS'�! Q c� �r► REAH ❑
W CITY �� i` � � ZIP.1�f�TEL�� SIDE/SIDE STREET RW 0
o APPUCP.NT TEL SIDE �
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o ADDRE S � �B� ��
W CITY I ��'�rS;rle
ZIP�TE �q DISPOSAL 0 PRIIIATE SQ FT./100 GAL
= STATE
� LIC.NUMBER S'S�//37 C/O GRADING ❑CU.YDS_EXC. CU YDS FILL
y ARCH�ENG� � NPE SQ FT FACiDR PS � ADJ:AAEANAL ATION ' -
Q DESIGNER W 1 '
o AOORESS LL, 2
= CITY Z1P TEL (g 3
� PROPOSED USE Z 4
� � GARAGE
o NO.DWEL. NO. NO. � ��
y UNITS STORIES BEDROOMS Gp
s LOT DIMENSIONS VALUATION ADJ.AREA
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�^u�� CONSTRUCTION
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� CENTIFIfAIE OF El(ENPfGN fRpA WORKFFS COMP(y$pTY�wsuwur�:rm,.�o.e aw a�� ISSUAN� � .�
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o �'d�'�`�` ° " y W PARK FEE
� °a" `� � 5CHOOL FEES
� NOTICE i0 APPICMT:C.uw mYinp m�Cervir�y d M�daM t�mn�yL�e�lo�M YM�te1
� �Cp�pe�om p�wislo�u ol W�t 1\ 4 �� witl�iuc6 PwqioM p M Onmil Y�M „ . _ .. . . .. ._ . . .
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� oa„�'d`�g"'�.��"'� TOTAL FEES � (`�C7 . .
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� l.bn•,wme COMMENTS
mlmda•t Addw - . . �
� GERfYGUE OF CQKIANCE AND AUTNOPoL1T01 Of LMiNY:1 ciNY 1 Iw�w/�s+W4�.ni aw
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X �"' y �y�� RECPT NO.�,�AVD BY VAUDA
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WHITE—Departmant Copy,YELLOW—Finence Capy,PINIhAnaeseor Copy,GOLDENROD—F�ls Copy.GREEN—Applicants Copy
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