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HomeMy WebLinkAbout16534 (32) �� CITY OF DIAMOND HAR �,� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)860-3195 Fac(909)861-3117 PRESS �^�� BW.DING PERMTT APPLICATION FIRMLY � J08SITE APPLICATION �(� PERMIT I ,,� P/C o A�DRESS��l �Nh!✓ - � DATE S� V� NUMBER_ � v� N c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER " ADDRESS ZONING SETEiACKS 0 � CITYQ?►�9���jJ�� ZIP�'��TEL. REART RW O APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR td�—�CDT-f�l� SIDE p � ADDRESS o CIN�hfl �iA�c ZI TEL /� P���T � ARCWENG/ DESIGNER NO.DWEL - �'NO. ADDRESS UNITS STORIES �EDROOMS � CITY ZIP TEI. 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O SMIP p DATE: APPLICANT. � � ENERGY P/C WARNING iARURE TO SENRE WO�KERS'COMPENSATICN LOYEMG[44 UNUWFUI./ND SMAI.�BL LL SUBJECT/JIEMPLOYCRTOCRIMINALPENALTIFSANDCNIIFWESUPTOON[MINOHEDTMOUSAND ENERGYPERMIT pO�W15(f tm.000�.W ADDITION TO TM[COST OF COMPENSATION,DAA/AGES AS iROVIDED FOF11N � SECTI�N17000FiNEUBORCOOE,INTERES;AND�TfOiWEYSFEES. �iEjENTIONFEE: W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: a O CC IHCRCBV/�FF6i1AUN0ERVEN�ILTYOFVEiL'URVTM/RTMEREISACONSTRULTIONLENDINGAGCNCY n- FORTMEPERFOiWANCEOF7HEWORKFORWMICHiHISGERMRI51S5UE0(SEC.fo9f.tIV.G�. � � IENDER'S NAME � LENOERSA�DRE55 U ��+r[ 2 IGEHTIFYTHATIMAVERCADTN�SAPFLICATIONANDSTATETUTTIEABOVEIN�OR11ATqNLSCORRECL TOTAL FEES � � 1• 1 w IAGREETOCddPLYNII7NILLlCRYAN�WUN7YORD�N1wCES�NDSTATEUYSREUTWqTO0U4DIN0 � CONSTRUC7pN./WDHERCBVAUT/10R�2EREPRESENiATIVE50FiNISCOUNTYTOEMFRUPONT+E � ABOVE�uEN710NED,�fOR WSVECATION iURP05E5. 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