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HomeMy WebLinkAbout1376 �_.�..�.------ • - ... --. . - '"� � CITY OF DIAMOND BAR PRESS DEPARTMENT OF BUILDING AND SAFETY BUILDING PERMIT FIRMLY JOBSITE APPL�ATION PERMIT $ ADDRESS � 1� C� DATE NUMBER CODE � APN L T�TRACT DA EE3"� �� �� 1� �. �p � CROSS ST EET '��` w� SETBACKS ���+Tg OD OWNER +�t � ZONING �� � � o ADDRESS REAR Q W CITY��+ ZIP �7 TEL. SIDE/SIDE STREET R1N � o APPLICANT JT..,�� �'T� TEI., SIDE ❑ a CONTRAC70R � SEWAGE o ADDRES 6 N DISPOSAL ❑ �� �� „� GTY � .�"' ZIP��- TEL.� ❑ PRNaTE SQ.FT/100 r,A' = STATE s �/ GRADING CI CU.YDS.EXC. CU YDS FlLL y UC.NUMBER �b �J f y ARCH/ENG/ ��G l � � N�'E S4 FT FACTnR PS ALDJ. AREANALUATION " QESIGNER � e ADDRESS +'4"'Q- �!�/tf � 2 = CITY ZIP TEL. � 3 £ PROPOSED USE Z 4 � � GAAAGE � NO.DWEL. NO. NO. � pORCH y UNITS STORIES BEDROOMS s LOT DIMENSIONS m VALUATION AOJ.AREA o NO.OF BLDGS HOW auANrm p�SCRIPTION FEE W ON LOT USED ,� $; U r— � lCEN5E0 CONTRACNRS DECLAHATqN.I he�eby dfi�m h�l I rn GunseA wtler proYxiant of Ch�pler 9(mmnrnci�p ¢ wrth Sanon 70001 0���sion 3 d Me 8usinesa ad Proh�snm Code.�nd my licma�it n hAI kin rd dfect. � � o �+ �VINER�BUIlOER OECIARATpN I Iwe6y dfrm Hyl I in�wemp�Imm IM Contnqor's lcmee liw}or tlw lollowinp ruson(Sec 703t 5.Busine�c�nd Prolaums Code Airy uty w�ounly wFich n�uires�permn m cmtnu[t, �(� � o Nter imqwt.demdnA,a repan nry 8rutiWe,pWr b 11i qswnte,Yw rpuirei tlx ppl'sam bi och prmi x � m hk�spned statement Iha1 Ae is I'ren�ed purwmt ro Me qw�sions of the Conuxtw'i linMe l�w�Ch� � � 9(commencinp wnn Se�uon)0001 a��Nsim 3 of tM Buuneas and Pml�nana Cadel r Me�M1e K wmpi tlienb d +nd the 6esa lor the alleped e.empuon Airy valatwn d Sxtwn 7031 5 b�Hry apphnnt yr�pvnt wbpc � x �aoWcam a�crvA penaltv ol na�mae tl�en five Aundrad ddWn IS50011 ..1 W Q a ❑I.as awner al 1M praperty.a mY anybyees wi�h wpes tl fiert fde tm�pw�Nhon.tNill b tlie work.�nd �M atructwe�s not mtended or oilard br uY�Sec 7044,&wnns and Professione Code TM Cantnctp'�license ,�„� Law tloes ror apDlY to m owner of propertY who 6uiks a'niprovef Iherean.aitl who tloes such rwrk hmxif. �. 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