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HomeMy WebLinkAbout13616 �� CITY OF DIAMOND BAR , DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES _ 21660 L•.Copley Drive Suite l90 (909)86Q3195 Fax(909)861-3117 PR ESS ���A BUILDING PER14iIT APPLICATION FIRMLY } JOBSITE �� P APPLICATI� ��� NUMB R�.� NI� � ✓� o ADDRESS DATE � APN LOT TRACT DA EE f���lr� ,� . • TYPE • • OCC ► C� CONST. GFOUP p OWNER �s2� � —�' " ADDRE,�S� G ZO'JIPJG SETBACKS W CfTY � ZIP ��TEL. FRONT R6Y ❑ � APPLICANT TEL � REAR ❑ � SIDEJSIDE STREET R6V ❑ CONTRACTOR SIDE ❑ ADDRESS f7 PROFOSED USE � � C ZI f�� TEL –�� DES GNER, FJ �� � � ADDRESS " NO.�YlEL. NO. NO. UNITS STORIES BEDROOMS � CITY ZIP TEL. � y DESCRIPTION SO FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILL'ER DECLARATION SFR'ADD�TIEM. WO I HC�EBY AfFIqM UNDCR PENALT'OF PERR:RY iMA'1 MA EXCM�T FROu TMC COH.'MCTO0.s u. 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