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HomeMy WebLinkAbout10491 i ..r---- C1TY OF DIAMOND BAR � EX P I R E D COMMUNiTY DEVELOPMENT DEPARTMENT � -:.-C 21660 E.Copley Drive Suite 190 . (909)86a3195 Fax(909j 861-3t t7 O C T 2 5 ZOGO PRESS '""'• BUILDINGPERMITAPPLICATION FIRMLY N JOBSITE � � � o ADDRESS 1 APPLICATI 7 PERMR ,� DATE NUMBER M ? I � APN � � I ISSUE TYPE pCC � �TRACT DATE CONST. GROUP p OWNER � � A(1 a ADDRESS TONING SEiBACKS � � CITY „�, ZIP TEL. FRONT Ryy � - APPLICAN�AU�"t � TEL.� R�`R O � SIDE/SI�E STREET pyy p CONTRACTOR '� SIDE � ADDR S � C�TY ZIP � TEL ' PROPOSED USE I �1C o ARCWENG/ � � DESIGNER � ADDFiESS NO.�DWEL NO. NO. N �� Z1P TEL. UNITS STORIES BEDROOMS '� DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION O OWNER-BI:ILDER DECLARATION SFR/ADWAEM p 1 MEREBY AFGIRM UNDER YENAL7Y OF PE0.R1M 7HAT 1 M1 EXE4vT FiqM TNE COl{Tq,�CTpqg Lr. 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