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HomeMy WebLinkAbout16504 (63) _ . y: �- - - - ..... . _ . „ t ,.. . ., � . « . �,r CITY OF DIAMOND BAbt ''� � � . : . f � ' -� DEPARTMENT OF COMMUNITY�DEVELOPMENT SERVICES . �'"" . . � zi�o�:c�uy�;��s,�u"i90 � . . PRESS ..:(909)86a3193 Fax(909)861-311? - ,� ' ��. � • �BUQ.DING PERMTT APPLICATION . `�- f'"��. .,5�:' �df�rU. ,` '.,.�� . <'FIRIULY, N JOBSRE : � ` �' . • APPUCATION • _ . � ,, PERMIT I ..!-..° ( P1C � =p ADDRESS�.�T���� ���,,�.,:� ,•�f,,::.a;�T -• . OATE � i �: J I NUMBER it F�'S Z. t'i.� _ `- . I $ . ,..�. ISSUE . : TYPE . . OCC . •+ APN � � LOT TFACT '� ����7 '_ . DATE� CONST. , GROUP � � OINNE��.a :r- �� ;.�..•c ADORESS I 1�' r '' " } _ � 'Z�NING SETBACKS • 1� -�.-1 ty-�.....�,, �f o- ��4� 'P' .CfiY —��nss ZIP• ?'jf� TEL.�t�E��797-ui�r ) � FRONT _ .. RYY ' � . APPIICANT TEL.:� REAR O • SIOE/SIDE STREET RW� ❑ CONTAACTOR / C` S�OE O - � ADDRESS " ✓:.r vy1'-" ... PROPOSED USE ��`t �1':L..;, . C� _ .:ZIP TEL - . . .. � _ . . ARCWENG! • �. 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'�. �� " VYORKERS'COMPENSATION DECLARATION � ,i�.� y,�� ^•J•• - � INEREBYAFFIRNUNDER►ENKT'OFPEfWR'/ONEOFTHEFOLIOMAH60ECLAMTq7i '. Z �I ^'7' ,lr'/�l'^! ��� �i a. 1 4.i � _ 1� ,� � . . - �c+�INAVEANDMALlMAN7ANACEifTIFICATEOFCONSENTT03ELNN8UREfORWOWfEH5 ��. . � ��/ � �l�`�/ � � `� ,.Jti-' r� ODMOEMSATION.�f FROWfO BV SECTION 77DOOFTIE V�BOR LODE fORTHE PERfORMMICE U � THE MCiMC FOR VMKM TNIS PERWT IS ISSUED. � - � � � � . � � I. � ��� �,(f�JO� •./�..' �✓f' IHAVEAWIMLLWRfiM1WORKERS'CqAYEN9�7qNIN5UMtrCE.A8RE0UiREDBYSECTpN . . . . . . . . . � ' � . 900 D f 7 H f L A B O X L O O E F O R T N E P E R�A N C E O F T�E W�K w R N M I G 1 7 H 1 5 P E R M I T I S � . ���„� �t:� !� - . �suEp,�,n•wo�rEny.ppw�Tqni i va n u� CONSTAUCTION ED. � wweq a'f '�'r' 1 � PLANFEVIEW �' •� ? , pa�• .-. -y `rJ�'� . _ ELECTRIC • �� ' �_ 3 F'.�_i 1 ��: 'I � � 'Y���ne�� wTeEm�aEIIDOii�Ev6wi�wna+eKa�ooat►ss1s+WlattEss? 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