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HomeMy WebLinkAbout16322 (32) `5 ` � ; CITY OF DIAMOND BAR V �� ,i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suiu 190 (909)860.3195 Fax(909)861-3117 • , PRE$$ `, �•=�� BUQ.DING PERMIT APPLICATION FIRMLY `. o� JOBSITE 3��7 P OS CC' � �e � APPLICATION I!� � PERMIT 1 L3��P/C a --��� ADDRESS r DATE NUMBER N c� ISSUE /��'}. TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �l�tiii7 /��A//i o ADDRESS_ 2 3L�� P�-oSpc e fi (/i711 er !2 20NING SETBACKS_ . � CRY Di/1Mcnn !;n� ZIP C I1 TEL. rC9 a ' / FRONT� � RW O APPUCANT !t(? /arne-sf% [rsSf. TEL S'eq �G� 6�75 REAR ❑ � SIDE/SIDE STREET flW ❑ CONTRACTOR �Dt'S"i% Ccaj' , SIDE ❑ q� ADDFiEShS-ss�8 Cr�ol�ro /}rreu_�C.� �� � CITY ✓�nMCNO l�n� ZIP sn TEL. 1�`I $�L )� PROPOSEDUSE Z 13r0�C'wa1 QDOi�K•�.. �p�� , oAACH/ENG/ � � DESIGNER NO.DWEL NO. NO. CnDRESS ZIP TEL. UNITS � STORIES / BEDROOMS � DESCRIPTION SO. 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V L � SUBJ[CTANE4vLOVERTOCRIMWALPENAL71ESM1OCN:LFP1E5U7700NENUNDREDiHOUSAND ENERGYPERMIT pOLLMS(S�Oo,Ooo),IN ADOrttON 70 THE COST OF COUPENSATION.�AMAGES AS PROVIDED FOR IN � SER10N710!OF T1E IABOii COOE.NTER[ST,ANO ATfORNEYS FEFS. � �� .�� FiETENTION FEE: i1 LJ a CONSTRUCTION LENDING AGENCY pRE•ALT FEE: —"'-'"'"---"' + O � INERCBVAFFiRAIUNOERPEN�L7YOC7ERJUPYiMATTHER[151CONSTR�CTIONLFN�INGAGENCV d FORTN[PERFONAANCEOfTNEWORKiORWHId1THIS0ENMITI5155UED�5EC.]DY1.UV4). � LENOE75NMAE � r � LENOEf#SADDRE55 � /�',�J � ICERTFYTHATINAVEREADTH�SAPPLICATpNANOSTATEMATTNEABOYEINFOH4I.T10NI5WRRECT. TOTAL FEES �(J "�. � I�GREETOCOMVLYYATHALLCifY/�NDCOUMYOADINANCESIwOSTATEUWSREUiNOTOBVIOING , CONSTRVCTION,IWDMEREBYAUT1qR1IEREVRCSENTATIYE50FTNiSWUHTYTOENTERUPOHiHE !,, ���f' nO LIBO'VE•MCNTIONEDFf10VERTVFORINSVECTqNDURPOSES. CO E-�ITS ��v aj_[� � ���Dc�SS. ���� m PER�1iTTEE NAME(FR�NT1(� � � p ¢ ���."}'.�/��J ��� D��� . � � SIGNA'UHEOFFEWAIiTEE DAfE � RECPT.NO. 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