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HomeMy WebLinkAbout13064 (14) CITY OF DIAMOND BAR � ��-�J�- DEPARTMENT OF.COMMUNITY&DEVELOPMENT SERVICES � � 21660 E.Copley Dxive Suite l90 (909)860-3195 Fax(909)861-3117 PRESS • ��'��� BUII.DING I'ERMIT APPLICATION FIRMLY o ADDR SS '�� ����+— v�r DATECA710N NUMB R �`" 0� �� Iv � APN LOT nT�A` DATEE c�-�c�'�-l� � -I CONST. ' GROUP � OWNER +�► ADORE5S ZONING SETBACKS CITY g]�+�TEL. FRONT RW � APPLICANT � _ TEL. SIDE/SIDE STREET RW ❑ CONTRACTOR E� SIDE ❑ ADDRESS PROPOSED USE NQ� SF� L I � CITY ZIP TEL. � ARCWENG/ �_strL.f4� DESIONER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITY IP TEL N DESCRIPTION SQ.FT, FACTOR PSF ADJ.AREANALUATION Q OWNER-6UILDER DECLARATION � SFR/ADDIREM O � I MEREBY AFFlRM UNDER PENALTY OF PERJURV THAT I AY E%EMPT FROM THE CONTMCTORS lb G8f8Q8/C9�OIS CENSEU1WiaRTNEFOLLOWINaRFASON(SEG7Pet.68U5ME53M10PROFE55qNS00DE:ANYCRYOR (/� CCtMYNT1KJiRECUIRESAPERMRTOCONSTpUCT,AI.7EN,MAPROVE,DEMOLISH,ORREPAIRANYSTRUC- W POtiO/DBCk NRE,PRIOR TO ITS 63U�NCE,AL80 RC-0UIRES TME AViLIf,ANT FOR SLICH PFpMIT TO FILE A eIONED W � STATENEMT TUT ME OR 8XE IS LICEl6ED PURSUAMf TO TNE PROVISIONS OF THE OONTMCjOFS LI• .GENSE UW(QYWiEA Y(COMMENCINO WITH SECTION 7000J OF DIVISqN 9 OF TNE BUSINESS ANp PRO- � P��Pfl FEBSIONS COOFa OR 1}MT HE Ofl6HE IS E%EMPT THEHEfR01d 1J1D TME BASIS FOR lHE ALLEGE0.6kEA1P• � TqN.M1YV10LATIONOFSECT10N7Wt.6�'ANYAPPLICJINTFOAAPEIiMITb761EGtSTMEAPVUGNT70 � pe.pop� � ApYILiEWU.TY OFNO7MORE THAN FNE NUNORED DOLUR9(i600�.�: ' ❑I,ASO�YNEROFTEPROPENTI;ORMYEMPLOYEESNATNWAOESASTHEIRSOLECOYPENS�TqN, O ComnlBfci91 N7LL 00 TME WORK.AND iFIE 87AUCTURE 13 NO7IMEND6D OR OFFERED WFl SALE(SEC.7oN.BUSb J 1�35 ANo Pi10FEs510Ns ODDE:TME CONTMCTORS LICENSE LAW OOES NDTMPLv TO AN ONfNEH OF ? . . � PiqPFATYYYFqBULD50RIMPRDVE37HEREON.ANDNM1I0WES6UCHMlORKHIMSELFONHEN6ELFOR � TWiOLWFiXISORNENOWNEMPLOYEES.iROVOED7NAT8UO/YPROVEMENTSMENOtWTETpE➢OP m aFFERm WRShLE IF,MDWEVER 1NE BULD1NCiOR IMPipVENEM ISEOLD WRXINONEYFAHOF�ONq,E- TqN,iHE ONR�ER�BUIIDEH N7LL INVE THE BUROEN OF PROVW(3 THAT HE OR SHE UD Nnl'DURD Op MPFpVE FOR 7HE PURPOSE OF SALk�. 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