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'"� .CITY OF DIAMOND BAR pRESS
'-�' � � ' DEPAFi'TMENT OF BUILDING AND SAFETY
. . BUILDING PERMIT FIRMLY
JOBSITE j�' / i � s °S!� "� A�CATION PERMIT j,!J�:,r-; §E
ADDRESS ��..�� �� • ��t f--���-��-�-��'1 DATE NUMBER �— � CODE
� APN LOT � TRACT ��+' �� DATE �" �(�' ���� CONST GqpUp
o CROSS STREET SETBACKS �E��
°' OWNER �'���a Czjl . Inc. ZONING �� � ❑
� ADDRESS �� �'�f� Pl. �j1100 REAR ❑
,� CITY �z'�'�e-• ZIP 9?.724 7EL 851-313] SIDE/SIOE STREET RW ❑
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o ADDRESS DISPOSAL '
W CITY���nn ZIP TEL.�' - ❑ PRIVATE SCL FT./100 GAL
= STATE A90083 GRADING CJ CU.YDS.EXC. CU YDS FILL
y LIC.NUMBER
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= DESIGNER W �
o RDDRESS LL 2
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� CITY ZIP TEL (� 3
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� r"a t'l.'_.- � GARAGE
o NO.OWEL. NO.• NO. � ��H
y UNITS STORIES BEOROOMS
� LOT DIMENSIONS m VALUATION ADJ.AREA
o NO.OF BLDGS HOW ounrrtrrY DESCRIP'TION FEE
W ON LO� USED �
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W NOTK:E TO APPLCANf+.H,dta m+Yinq Ma Canfcsta al fm�peon,ya shauld 6�ca�w wbj�ct b de Nkrbr'i �� SCHOOL FEES
� Compens�Iwn pwaion�el the UEa Code.yau musl futhwAh tompy witA eah paiwro a dAs p1�na fMl � .
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� DIVI510!DG WqISfIqAI SAFETY PERMIT CERiiCAT10N� ' 4{fy�? FJ
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� casrm�n�ic�e,c nccrrcr.i n�.w ,r��«:.q��.�.i.�a•�•�r� w,�« TOTAL FEES �7 I[+ ��
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� tme.r,t� ' �•�•_- ' G��ENTS
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'� CER71fUTE OF.COMPItANCE AND AUTIIOro7AiD1 Of EIlfAY.1 artily(Mw md/s+od�+��nd aw
va tlut tht nlam�dan pw�e cmKt.1 pa a�aiph'w�h�I sts Iwvi md ti�'wri�sa nh�9 p b��9 .
y tonsvu�Uon.rd juMaix�npnwn�ew ef tM Dwtnrat d 8�+16M+^��Y b��9e^�I�PK�Y . .
la whicn 1 Mv bW�br tha nMnw fa tle M�p}oe�d��Yi1ia ip0�cronc J J./ + �. •
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� -!-��sqnn��a nypsi�t a npm��! ��pr ' RECPT NO �°") �f• `� Pq10 BY ' VAUDATION {'1`
WHITE—Department Capy,YELLa/Y—Finanee C•opy,PINI4-.A�esaor,Copy,OOLOENROD—File Copy.OREEN—ApplkaMe Copy
