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HomeMy WebLinkAbout16883 _ _,_ _ �____ ---_ - _ _ _ � � _ � CITY OF DIAM�N�BAR �T���--- '�""�°` --� DEPf1RT'MENT OF�OIvIMUNITY&DEVELOPIvSENT SERVICES -' � � 21825 E.Copley Drive (409)860-3195 Fax(909)861-3117 PRESS "'������' �UI�.DINGPERll�ITAPPLICATION FIRMLY � JOBSITE - APPLICATION °' �'f PERMIT Q°-"C�� P/C ¢ ADDRESS�� L'f� !� �� ` ��� DATE � ��"' NUMBER ��" +d # o� ISSUE TYPE OCC APN�,,,LOT ,� TRACT e DATE CONST. GROUP � OWNER a�,�l��;Fa{ �� �� 9 � � �-� � '� ZONING SETBACKS AQDRES ��'�'81 � � CITY ZIP TEL. o FRONT RW ❑ � APPLIC T I TEL. REAR ❑ � SIDE/SIDESTREET RW LJ Z � CONTFIACTOR SIDE C � A�DRE55 �'I --' � 6 p PROPOSED USE o QITY �_!�r' ��`�� ✓`�EL. o ARCH(ENG/'� �z DESIGNER i, _ NO.DWEL. NO. NO. n'�.,. ADDRESS i UNITS STORIES BEDROOMS � CITY ° ZIP TEt. cn, N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � O�N�R-BUIL6ER�]ECLARATION SFR/AD�lREM O p 1 HEREBV AFFIFM UN�ER P NALN OF PcRJURY THAT 1 pM EXEMPT FROM THE CONTRACTORS LI- � Garage/Carport W CENSELAWFORTHEFOLLOWING'I'REASON(SEC.7031.SBLISINESSAN�PflOFES510N5GO�E:ANYCITYOR U. 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