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HomeMy WebLinkAbout15317 ; , CITY OF DIAMOND BA� � - --- DEPARTMENT OF COMMUNTTY 8c DEVELOPMENT SERVICES � 21660 E.Copley Ihive Suite 190 + (909)66Q3195 Fax(909)861-3117 PRESS BUQ.DING PERMIT APPLICATION FlRMLY � JOBSITE � .r `� APPLICATION_ PERMR P!C o ADDRESSZnb�'I i�Q��7 :ZO��3 SNI4N�v�rv ppTE �� NUMBER 153!`7 � $ ISSUE �j� � � TYPE OCC APN LOT TRACT pATE ( CONST. GROUP � OWNE��.C�-Y WGUD �. -�Ar , ADDRESS ZONING SETBACKS �"'� CITY ZIP TEL. REAR � ❑ APPi.ICANT TEL. SIDEISIQE STREET RW ❑ CONTRACT ��' l� F �C SIDE ❑ g ADDRESS PROPOSED USE CITY/I16SSi�n �L��rs ZIP TEL � D M�ST � ARCH/ENG/ �+q DESIGNER NO.DWEL. I NO. . NO. ADDRESS UNfTS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OVJNER-BUIL�ER DECLARATION SFR/ADD/FiEM O I MEREBY AFFqM IAJDEH PENALT'CF 7ERIUqY TUT I A4 E%EMPT FROM 7HE CANfFUCTOHS U. 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