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HomeMy WebLinkAbout1336 (16) '•-�., \ �� '"'` � CITY OF DIAMOND BAR � � DEPARTMENT OF BUILDING AND SAFETY PRESS BUILDING PERMIT FIRMLY ti ( JOBSITE � / APPtJCATION PERMff � S ; ADDRESS 2��� /�//iPAIiE GhiNE�� SS E J (� N�R �CODE � APN LOT Tf1ACT DATE � `�-- J CONS7: GROUP � CROSS STR���✓�/��✓ ���X SEtBACKS. ���++� °-= OWNER �///�m oRcr�YA ZONING �ONT . Ryy ❑ ,o°�i ADDRESS.��SD/ /IPi�I�E' ��1/G" REAR ' ❑ W CITY�/1/lOK�O 8��. Zip 9��a s TEL. ' SIDE/SIDE STREET qW ❑ o APPUCANT TEL SIDE [] ' x 4 CONTRACTOR �W�VEi? SEWAGE ❑ p�}g� p�;. ; o ADDRESS �/n'E /�S A�l�I�E DISPOSAL ❑ PRIVATE•. SQ.FT.1 t00 GAL W CITY Z1P TEL z STATE y LIC.NUMBER GRADING ❑CU.YDS.EXC. � CU YDS FILL y ARCH/ENG/ � NPE SQ FT FACTOR PS � ADJ. AREANALUATION' = DESIGNER �� v W � �� o I+DD SS � � 2 i CITY ti ZIP TEL �3 3 ,� � PROPOSED USE a R �� Z 4 - ! � L.lI1 i" f'E=(J G� � GARAGE ---� � o NO.DWEL O. • � ppRCH � - i y UNITS STORIES OROOMS � LOT DIMENSIONS m VALUATIdN ADJ.AREA o NO.OF BLDGS HOW owwrrn- DESCRIPTION � '- ' � FEE -:- W OV LOT USED Z � � � "' ❑ � b � LCEKSEO GOMHALTOflS CELLMAiION:l hrzhy afhrm tlin I am lim�ed undrt piwuiuns ol duptr 9lcommrcirq � wnA Secum 70001 d Onsan 3 0l iM Businesf eM P�alessant Ln4,xd my Icens�u in h�lac�W e11ecL W . � � W . � UYNER�&11L0[R OECLANATION�1 hneb/�Irtm Nn I�m e�empl Lon�tlN tontrxm'i lienn lrw la�h�Idbwiry Z n�son ISee 70315.Busine:a and Proress�ms Cadc Airy nry or caunry whicA�epu�es a pe1mn m construcL �() �"j/ � � � o ahp.xnpaa,demdsh.or rrpar my slrulu�.qar W�f aw�ncl.�Iw rpurli Ih1 appkmt lu w[h prmil Z G\ .\ .. � T �_ �o Lk�sqned auument�hat M�t kensed puiwnl m tM prw��ions al tlr Contrxtor'f li�ro�liw It�apts m , L c/ s 9 k�menanp wnh Secuon 70001 d Oms�on 7 d ihe Busineu and Pmleaiaro Cade�n M�I M u uempl tl+nd�om � _ . , d ard ihe Mss�or Me alkped t��mpWrt Airy rwi.ian d S«om 703L5 br+M+IilK�nl tol■a�m���4ecn .� � • � ' � '� tl��ppram io a�rvJ penaliv ol wl mon tha liv�lund�ed dollxt I35D011. �a W c-A • i � p(11.as onm ol iM yaperty,u my emD�aK�w�b wapes n Ueir+oN compmy�nq�JI Ao tly wuk,ud �Ste suuwn n not immded a olhud lu u4 ISec 708i.Bus�nui md Prohseona Codc TM Larcicwr't Lcmn Q : V law doa ml aPply�a�n m�mn d poperl�who hwlEs a�mpoves IAnton,ud who doet such wo�Y M1�mxil. 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L �d�B�NC? �"�•�Q � ❑Cerukd capr ii Meby lumslyd. . � . - J ANICAL o ❑r�uiKa cwr u��ea h,m m�ewn�ro i�.oRuo�o�vr�mm�a � o.weomi. Q GRA G _ � CEN7YICATE Of EIIEMPTIDN FROM WONNENS'LOMPENSATIOH WSURANGf:Tlvt�uo��e�rn n.cw�or«a ISSUANC . `�• y d Ne perm�l n lor on AUW�td if100)v ks4 I[nUly Cul m tM pilamnn ol iM woA la wN[�IM1s �� permi s nsueE.I shsM rol emphr�M penon m�rt�minner so�i tu 6ecome w6KCi tu dr L1dYri Car�penulan . � ,i—)C,J � �"' l�wt ol CalAan�. ' o wu r_�. �,�M� W F�E � NU�CE TO APPLICANT:M,alter iiWc�*�[nO1KYe d,Eimnptm,ya s1nuN Eecomt�ubXp ro iit YWIr'i V- SCHOOL FEES � Canpens�oen prows�ont d IM ldp Cule.�}a suit INthwM�omply wiM t+ch pwuau a Aif permil shM ' �- M deemed nrded. - . . . . Y � OIVRIUi OF WqISiR1AL SlifEiY PEflMIT LLflJT�FICAiION:�.` � ❑1 hrtDy nnAy Ilul w�#{.Man f�Iyha�'�.h�fn1�n dptA nW rvfi[�1 pnson i7 rMyinl b d�und. � wm h'mah e cmneam 1nm�wat aideivN�hy!xi P�miiYanl tlul m WYry rnuctul ualhWq.I��wwk, . � d a aemom�m w dunwainp iherea�,wA e.nwre ew rtrry�v■Uel��t h�ph la+v.7i.ery 7.an z.See � _' 311.TiW8.CA.C.1. . . . W . ...,..... . S ('1'�",l �t._'. �'��::'.'.�: 'i'. , F:.•�!�� . 3 ❑!u wns�b.idel:I wd nat enVb1�+�Yury�ro di wwt ivhri wwN n9ur��D�mt kom iM Ma�on d � � � � IM�srtul S+letr.as mud'aEb��yYnksi a,eF pensn lut i Ptrmit w 0�i�iJi wak Iron tlr d�.v+oa � . � ❑°"'"'°"'°"°"'�`"�""'� TOTAL FEES �. . � CpJSfRUCf10N lLNO!['i AGENLY:I MiWy NI"rm�tl iM�if�[crotrutom MM+y�p,ny ler dr prb�nnn • , Z ol IM�wr1 la wMrA 4W prml u uiuN ISee 7097.Cn.CI.. . � . � ��'�N„". MMENTS � � t n c m i.�•�aae� ,(,. • < amuea n uwc[ua nr oF turm:i cwery t n,��u�eu�pr,�m.d,ue �l IhN tM la it tai lo wM N�Wt 4wt rd[iry yYunnt nlruq 1�h.M,g . . y wnsu m w�i d uwro d Bulbnp nl S�M�b w�r�qa ilr N�M ' = fa w la Ih tly d wYiq inp�c�enc � ?o��r� ,, � „� � . RECPT NO. ' ' P/UD BY VALIDA WHITE—Department Copy,YELLOW—Finance Copy,PINI4—Assesaor Cop�,GOLDENROO—File Copy,GREEN—Applicanq Copy 8S10frt 1/89 i-- --------�--�------- - -----�---�---�-�-----------�--------------------------.�._�------- ------ � ; - � - � _ . . . . ,��-.�y-�, ,---- _._;..---.,�..-----.� ._-- - --_..--- ---- -------------�-�---- - — ; : ..... __ • .. �-.. � . . . . , .. .; - ;, \. � •�. _l�� 4= . . 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