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HomeMy WebLinkAbout10397 (5) CITY OF DIAMOND BAR' - � ' �'`'� COMMUNTfY DEVELOPMENT DEPARTMENT y ;.,� 21660 E.Coptey Drive Suite 190 PR�SS (909)860-3195 Fax(909)861-3117 '"' BUILDING PERMITAPPLICATION FIRMLY o ADDAESS ' s�� ��t' ��•Il f�-s DATE ATION� � � NUMBER !b3� �� $ ISSUE 7YPE OCC APN LO TRACT DATE CONST. GROUP p OWNER 9 L.Uri./I( / u" ADDRES ZON�NG SETBACKS �W CITY u ZIP T_ TEL ' � i AEAR � ❑ APPLICANT TEL SIDE/SIDE STREET RW O � CONTRACTO " � SIDE ❑ � ADDRESS C� JV� G� Z�P �L PROPOSEDUSE , . . _ . �. - �i ARCH/ENG/ �. .� , . . z� DESIGNER NO.DWEL NO. NO. j CnDFES5 Z�P TEL UNITS I STORIES �- BEOROOMS 3 y OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BCttDER DECLARATION �q/,�pEM O p 1 HEREBY AFFlRiJ UNDER PENKTY OF PEiWRY iH1R I AM EXEMVT FROM THE CplTMCfOR3 IL �ti���� . . 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