HomeMy WebLinkAbout11505 __ x..._ _. .-- - -. CITY OF DIAMOND BAR ' /�j - � COMMUNITY DEVEI.OPMENT DEPARTMENT � ' 21660 E.Copley Drivo Suite 190 PRESS (909)860-1195 Fax(909)86l•31 l7 ' �'�^' BUILDING PERMIT APPLICATION FI R M LY � JOBSRE' �I� C "�"�(1(�D U DATECATION �-20��l�NUMBE�� It/C o ADDRESS�3 �� J � ISSUE TYPE OCC APN LOT TRACT f'��- DATE CONST. GROUP °C OWNER �t l�-�6` - � ADDRESS��3�1G? L �c�1d/4 � ZONING SETBACKS � . �" CITY,j��. �.�1� ZIP TEL.��qC.C/ - 2 REAR RW O � APPUCANT TE�• SIDEISIDE STREEf RW ❑ ' � CONTRACTOR ('�?'�Ci"1�/C� SIDE ❑ oADDRESS PROPOSED USE Y-��/` cST�C�-�v�7"'e • CITY ZIP TEL. ' ' , wo ARCFUENG/ � -''. �K v a o� ; �� � DESIGNER NO.DWEL NO. � _ NO. ADDRESS UNITS " ' STORIES � ' BEDROOMS � CITY ZIP TEL. �' OESCRIPTION SQ.FT. FACTOR PSF ADJ.ARE/WALUATION � � OWNER•BI:iLDER DECLARATION SFR/ADD/REM " ' �O p 1 HEREBY FfFIR1A UNOER PENALTY OF PEfiRlRY THAt 1 MI EXEAIPT FROM THE CONTRACTORS ll• Gerofl�B�K . . 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