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HomeMy WebLinkAbout10242 C1TY OF DIAMOND BAR � • COMMUNITY AEVEL.OPMEN7'DEPARTMENT /' ,,. ' 2I660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 `'^M'� BUILDING PERMIT APPLICATION FIRMLY y JOBSITE 13�L�. R�Gt6e���jye���l�en0lld �1.��- DATEICATION ¢�.,,.��...t� NIA�ABER O�/ � � f� ` 0 A�DRESS 1 � 1SSUE S �� � TYPE OCC APN IAT TRACT DATE � CONST. GROUP � OWNER �- � Q ADDR S _ ZONING SETBACKS � CITY�pnQ R�^-�. ZIP b TEL. FRONT RW ❑ 2S APPLICANT TE�• Z S DElSIDE STREET RW ❑ � CONTRACTOR��l Al�—nRU F�C j��(�.f; [/+u,o'Tf SIDE Q � A D D R E$$ PpOPOSED USE ^J"�n n�s GC�Y'� � CITY W TEL. ' � ARCHlENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNlTS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.� FACTOR PSF ADJ.AREANALUATION Q OWNER-BI:ILDER DECLARATION �'q(qpp�qEM O p 1 NENEBY AFFIRM VNDER PEWiLN OF PEPJUFiY THAT I AIA EXEMP7 FHOM THE COMR�CTORS LI� GefdyB/CilpOlt U.1 CFNSEtAWFORTHEfOLL01NWOREA50N(SEG70.71.SBUSINE6SANDPROFE9910NSCODE:MIYCITYOR (n C.) 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