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. _ � - ------- ---- ------- . — -- � J� CITY OF DIAMOND BAR . — �-� DEPARTMENT OF COMMUNITY 8c DEVELOPMEIVT SERVICES �� 216fA E.Copley Drive Suite 190 , (909)864-3195 Fax(909)861•3117 . PRESS ����� BUQ.DING PERMIT APPLICATION - FIRMLY o ADD ESS �, T" �r"���+� 1!� DATE CATION�_�^c�� NUMBER��a w�C _�I � ' �✓7 TRACT DATE ti � . ' ONST. � GROUP ` ' APN - `� LOT p OWNER � 1►'►1 � �5N(�lvQ - - - � . . o ADDRESS 4 -aa^�T�� ZONING SETBACKS . w CITYDI�MD�Il����Z ZIP gJ�1 TELG��Z���bZ FRONT RW O � APPLICANT TEL. REAR O � �����" SIDEISIDESTAEET RW ❑ CONTFIACTOR �C SIDE • O ADDRESS � S • � �. PROPOSED USE �i//�"�����5 �- � S � � CRY(��JL7 21P�•L I.. � DESIGENER,�OOL. . �, Ctv . ADDRESS � vG-� '. N0.DWEL NO. NO. N CITYAti1i11-{�1/1� 21P TE7./#, L30'b/Q� ` UNITS STORIES BEDROOMS y DESCRIPTION SQ.Fi. � FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD,'REM O p 1 NEREBYALFIfi1 LN�EN iENAItt OF VERA/RY THAT 1 AA1 E%EMPT FROM TME CONiRACTdiS Ll• Ggf9g0IC8�OR W CEHSELAWFOqTNEFOLLOwNOqEA:ON(SEC7o7f.6&15WESSANDPM1FE5510NSCOOE:ANVGttOH (n u COUNTYNWCi1RE0U1RES�PER/AfTTOCONSTRUCT,ALTERMPROVE,�EAlO1J5F�ORREPAIRAKYSiRUG patiaJDeck ' � b 1URE.PN10R TO RS ISSUMrCE,K30 NEW�RES TME APPLICANT FOH SUCH PERMIT TO iILE A SIGNED W � STATFMEHT THAT HE Ofi SHE iS UCENSEp PURSUANT T0 7HE CROVISIONS OF iME CONTRACTORS L6 � CENSEUW(G1�VTER/�COMMENCNO N77H SECT�d17000I OF DIVISION]OFiM�BUSINESSAN�PRO• LL' OOVSpB '3 iES5�ON5 Cm�OR T/1AT HE OA SME IS EXEMPT THEFlEFROM M1D MG BASIS FOR 7ME ALLECCD E%EMa- 710N.ANYVIOIAiIONOFSECilON70]1.6BYANYAFPLICANTFORAVERMITSUBJEG157MEAPVLICANiTO z Re-Fool F A G'AL VENAL7Y OF NOT MORE T1AN FNE�RINDRED�OlURS(iSCC),I: . � OLA+a'R1EpOFTNEVROPEAT`/.ORMYEMttDYEE5N7THWAGESAiTHEIR50lECOMVENSATIDN, � (+`pmmBfCiO� � W1LL p0 iME YpRK MA iHE SiPUCTURE�5 NOi IMENDED OR OFFEREO fOH SALE(SEC.7oa1,BUSL J NE551HD oROFES51qJ3 CODE TNE CONfRACTORS L�CENSf UW OOES N�TAPP.v TO.w DwNEN OF � iROPENiYN110BU1D90fIMPROVE57HENCON.ANDW110DOE55UCNWORKMMSEIFORMERSEIFOR � � THqOUOMHISORHEROMnlEMPLOYFES,PFqVIDEDTHATSUC11N1PROVEMENTSMENOTWTENDEDOR m OFFERED PDR SILE F/qWEVERIME BUlDIN40H MVf10YEMENf IS SqD WITMN ONE YEAfl OF COMPIE- Z TION,TFIE OwHEN�BInLDER WILL NAVE iHE BUROFN OF FROVN6 71N7 ME OR SHE DiD NOT BU4D OH = IAA7iqVEiORi11E7URPO5EOFwLLF1 -• W O�ASOWHEROFiHEPROPERIY,AIAIXCLUSNELYCONTMCTWOWITHUCLNSEDCONTMC'�OR$ a TO CONSiNULT TNG PR0.IECT(SEG 70f�,BUSINESS AND OROFESSIONS LOC�•THE COMRACTOpS LI• 21U2SiC� ADJ.AREA Cil CENSEUIWDOE9NOTAPPLYNANOMMCROFAVROFER7Yri?fOBU4D50flWPpOYESTHEREON.IWO � wr+ocartw�crsFOAsua+vAaEcrsvnn��ca+Ta�croals�uccNsmouawu+rTorr�eoavra�u CUANTIN DE RIP710 �. . • FEE � TOfLSUCENSEUW�. , � O I IAa E%EYGT UNOEA SEC. 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