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HomeMy WebLinkAbout12117 (11) CITY OF DIAMOND BAR ' �, COMMUNITY DEVELOPMENT DEPARTMENT f/ :,,.,: 2I660 E.Copley Drive Suite 190 / PRESS (909)8643195 Fnrz(909)861-3117 "*", BUILDINGPERMITAPPLICATION FIRMLY o ADDRESS �JS(�YLI:/Z'T ��f lJ`� _ OATE CATION�y I I "9 0 NU B R I�� �1� ls � APN LOT TRACT DATE �^ I 7— /l J CONST. GROUP � OWNER ADDRESS �OSS � ZONING SETBACKS Z CfTY " ZIP9/7(aSTEL I-1 O FRONT RW O g APPUCANT �„ -/ REAR ❑ � SIDE/SIDESTREET RW O CONTRACTpR• �D'L� SIDE ❑ � ADORESS I"7 Z C' pqOPOSEO USE T � ��b'�G� CfTY - IIP TEL -/ o ARCH/ENG/ Zfs2.1 U'G[.c_ � � DESIGNER N0.DWEL NO. NO. n. ADDRESS UNITS STORIES BEOROOMS � CITY ZIP TEL c�n �ESCRIPTION S�.F1:' � FACTOR PSF ADJ.AREANALUATION � ONRJER•Bt;ILDER DECLARATION SFA/ADD/HEM O p 1 HEREBY AiFlRM lMOEN FENALiY OF PEf WRY TNAT 11W EXEYPT FROA1 iME CONTMC'TORS l4 Geb9�+s� W CENSEUwFORTHEFOLLOWRqREA°AN(SE4T07/.68USNESSANDVFIOFESS�JSCOOE�M/CfiYDR (J� U COIMiTMM1OIREOUINESAVEPW770CDN5Tirt/Gf,ALTERMVROVEOEMOLJ5HOR1iEWUqANY3�RU[' w Pl110fflBCk . . . � � NRE FN�OR TO tT313%1�NCE,ILLSO REW�RES TF�E►PPUGNT FOH SUd1 PERMR TO FllE A SqNEO � STA7EMfNf THA7 ME Oq SHE 19 UCENSED PUqSUAHT TO iNE VROVISIONS OF ME OONfMGTOR9 LL � CENSE UW(GIAP7ER f(COMMENqlO NtTN SECTION 7000)OF DMSIDN 7 0F iHE BUSINESS AN�VRb � PooVSDa . . 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ISSUANCE '�= /b�� W DAT£•'�I� • •� AFPIICANI: P � SMIP t � � WA1511N1'tf1LLURETOSECl1REWOPo(ENSWMVENSIlTR7NCOVERA0E13UNUWFU..�/05Mh118E EIJERGYP/C � SUBJECT NI EMR�YEN TO CRAIOUL PEN+LLTIES IVID CNII FNES UP TO ONE/MARED TqUSMA ENERGY PERMIT DOliM4 ptoo,00D�N ADDITdI TO iHE COSTOf CdJPENS�TqN,DAUAGES AS VFOVOED FOR M J SECIION�7MOFTNEL/BOqWDE.N�ERE3T.MAAT7WWEYSFEES. � RETENTIONFEE: . . � CONSTFlUCTION LEN�INa AGENCY PFE•ALT FEE: O � IHEREBYAfFiRNU�AERPENf1iYOFPER1uRY7NATiHEREI9ACONSTf1UCT10NLENDWOAGENCY � Z FOR THE VEAFONAANCE OF THE WORK fOR MMICN T/19 VEPo.�T�4155UED�SEG�7,CN.C.�. . . . W � IEN�ER9 NAME � lFNOERSACOHE55 � ICERTMYTUTIHAYEHEA�THISAVPUCATIONM1DStATE7iUTiHEIBOVEINiOPAIATqNI500RHECT. TOTAL FEES . � IAOREETOCpdPLYWfTHALIGTYM1DCOlM7YOFI�Pl1NCESANOS7A7EUw4RE1.ATNOTOBUILDINO ,_ � � � � � }1 OON571X1CfqN,/HD HEREBY WTHORIZE REDRESEMATNES Of TNIS CO�MTY ia fMER UPON THE �1 ' / S� MpYEJIEMqNFD PNOiERiY WN�NSPECfION MJRVOSES. 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