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HomeMy WebLinkAbout16002 (34) � CITY OF DIAMOND BAR � - DEPARTMENT OF COMMtJNITY�DEVELOPMENT SERVICES -- 21660 E.Copky Drive Suite 190 (909)860-3195 Fa�c(909)861-3117 PRESS " BUILDING PERMIT APPLICATION FIRMLY � J08SITE � n / �l APPLICATIO PERMtT P/C o ADORESS �� �oc�L�•i�rit KC� L�� DATE �n .� O� NUMBER �� � ISSUE TYPE OCC APN LOT TAACT DATE , ( CONSI: GROUP � OWNER "' ADpRE S �' ' 0 20NING SETBACKS W CITY � � ZIP TEL. ' �/ - FRONT RW ^ � APPLlCANT TEL'7�Y �• 6 7 REAR C SIDE/SIDE STREET RW � CONTRACTOR�����;['y�'¢p �w,. SIDE ❑ � ADDRE�^S�--- __Ti�/ /.i'vt PROPOSED USE�;L •r.�I...tt % ��+.1_ . �l'�� �'�n:•• CI7Y(„+�._ -�i�1 zIP 15�F1 TEt..7N . / �9.7 . - �:..i:�. Tr4y !L f—.3.L��• • w+wl y��i � nacwENcr ��,� r,.: �u �— A�DR SSR NO.DWEL NO. r NO. = C� Z�P ,�� UNRS STORIES BEDROOMS � _. � DESCRIP710N SO.FT. 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ISSUANCE ' O �/ � �p DATE: APA.ICANf: -i'V SMIP ��,�� � ENERdY P/'C wuvnn�r�uAt ro sEarne woFacear corn�ua�Tqn oovewwi u uNuwru.w�o s�w.t oe �y "U6IECTANfiMM.OYENTOCRIMWKPENALTIpANDCYNLFulEBU�MONEMLrDREDTNWSAND ENEFiOYPERMIT r pOlWO(ftOO.am),WFUOfT1OMT0711ECASTOF00MVENSATION.DIW\Of6�iPROVIDEDFdIW � sEcrqN a7a ai MF tAeoR caoE.wrEREST,wW Ar10ro1Ers FEEs. RFTENTiON FEE: � CONSTRUCTION IfNWNCi AGENCY ppE-ALT FEE: g1 HEHEBY JIFFlPY IK�Ofc�PiNALTY OF PEIWRY 7iYRTHERE I��CONSTAt1Cfi0M LENDPIO�[iEENC'( 2 FOq TME PENFDRM�NGE OF 71#M�OW(P011 W1110i TWt PENMIT N ISSU�(SEG 9a7,pY.C.} lJ.l � LENOEN'6 NMIE � LfMOEIi'6AODRESS ` � ILEqTF/TNT111AVEAEMMISAPPLIGTqNIV�D9tATFtFMT7NEABOVENFONMT�WIMCdiRECi. TOTAL FEES L • � I AfiREE 70 COwOUI M7TM�LL CfIY MIO COlM7Y 011DtlYANCEIAND fTATE UN7 N0.AT@Ni TO 9UlDINO • OOIipTRUGTION,.WD NEAEB�AUT110RRE NEPNESEMATNES OF T/IS COIMf��O EMER UPON TNE � ABOVE-MEMqNmVRDVENTYFONWSPECTIONPUN7DSEi �MMENTS � n .y�: C.�i'5:�:r is•� � PE F IPPoM) � � � � � y TUR E DA � RECRT.N0. PAID BY VAUOATIOt�I YVHITE--0eparlmeM Copy,VELLOW--Fnend Coq,PINK--1lsaesear Copy,OOLDENROD--FiN Cop�6 GREEN—Apqieam a Copy