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HomeMy WebLinkAbout10229 (5) CTTY OF DIAMOND BAR " ' COMMUNITY DEVELOPMENT DEPARTMENT .,.,: 2166o E.Copley Drive Suiic 190 PRESS (909)860-3195 Fax(909)861-3117 �'M', BUILDING PERMIT APPLICATION FIRMLY o DORESS�'g DO �� kµ��L �� DATE CATION � '� NUMBER J II� '�d ISSUE r, TYPE OCC � APN LOT TRACT � DATE ���� � CONST. GROUP p OWNER �� p ADDRESS Gfa `�. L�acl�-�D ZONING SETBACKS � CITY ZIP TEL. R�pT RW p❑ APPLICA�,�.��-+�or.1L'i� TEL. SIDElSIDE STREET RW O � CONTRACTQR�_l��aH►D ��R �►S'c `��� SIDE ❑ � ADDRESS%�Y�O �A�.►�� g�1- PROPOSED USE � CITI��dRf�1�1G-� GA ZIP�TEL�� ��'��7D o ARCH/ENGJ �` ���L� • � DESIGNER NO.DWEL NO. NO. ADDRESS �A M�_ h �!'P_>o UNffS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OVJNER-B�ILDER DECLARATION SFR/ADDlREM O � 1 HEREBY AFFIiW UNOER GENAL7Y OF iE0.1URY iHAT I AM E7fE4PT FHOG TiE CONTMCTORS LI• Gere(�6rCgryOR . 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