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. � '"� CITY OF DIAMOND BAR PRESS `.,_�-�'�- DEPARTMENT OF BUILDING AND SAFETY �� BUILDING PERMIT FIRMLY JOBSITE � DA E�AT10N _ �O NUMBER„�1�'=CODE ADDRESS ISSUE TYPE OCC. � APN LOT T DATE �" �-�� CONST. GROUP o CROSS STF�E_ �� � SETBACKS "R'a'F"�"TS `° OWNER �I ZONING FRONT RW ❑ o ADDRESS REAR ❑ W CITY ZIP TEL SIDE/SIDE STREET RW ❑ o APPLICANT TEL. SIDE ❑ z ` CONTRACTOR SEWAGE ❑ PUBLIC PMT#� o ADDRES DISPOSAL ❑ pRIVATE SQ.FT./100 GAL W CITY ZIP TE . z STATE L�,`Q���� � LIC.NUMBER � � GRADING ❑ CU.YDS.EXC. CU YDS FILL '_'� ARCH/ENG/ "� ,�S w NPE SQ FT FACTOR PS ADJ. AREANALUATION = DESIGNER � � ADDRE S 0 LLW.. 2 z CIT ZIP�o�_T L (� 3 � PF?OPOSED USE � �" z 4 � � � `• • � ` � GARAGE o NO.DWEL. NO. NO. � pORCH N UNITS STORIES BEDROOMS _ s LOT DIMENSIONS m VALUATION ADJ.AREA o NO.OF BLDGS HOw ouarrrrrv DESCRIPTION FEE = ON LOT USED e ,�O � U f.�., ¢ �i �� �LEN 4TPa''TCRS C[LIARATON I krehy dhrm Mtt I�m kmud uder Drpvqiu^s ol LMD�9 Icommeainp !- � wnA Secoon 7D00)of p.iyan 3 0l tlie Businees aM Piolnfms Lode,nd mY�K�^fe if n I�N lorte rd Nlect W 3 � W �+- P.MFH B:1110ER C[LIANATCh I hae0r�����m Ma�I am e+empi I�om Me Confrum�'f LKens.liw lo�tl��MWw�nq reno�ISec T0715.Business and Pmins�ms Cade Arry oty q eanly whKh repmm�perme m Wnsttat. 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Z m me 6u�u�ng p�mp�o.ement rs mW wnhm o�e yeu ol[omDk��on.Me wmer�EmiAa w•tl hne tAe Euden ol pwrq Q � tM��e d�E no�DmW a imD��lor Urt purpou ol sal[I � N H ❑I.u awnr ol tne piopaty.�n e.dupvely connanny w�N IKenseG cam�crors to consvu[�tlr pqM ISK W 0 70dt.Bu�ixss�n7 Rolesswnf CoOe ilrc tontrumr's lKense l�w daes nai�ppY ro+n owner ot Diapeny wta � = 6uJAs oi�mpiaves Ihe�em,and w�o tonuxts ta wcA pmlecis with i torVxtalsl IKensed paswni b Me Cmincta's � Q lKense law I TI O N O /� � •.• ❑I am e.em0��+der Sec ,B 6 P41Anuh CerClKahl pLAN REVIEW `L'�— � o Da�e �� LECT I �D� .� a N9RI(ERS'COh'PENSA7IR�DEQARATIUI I�ereM��tvm IMt I havt�Cer4�Kile of eansenl lo seil nsue,a � a uniLtate ol V�aknf Larpensaum insuorce.a�cn WrcE tnpy tlineof(���0,l�h L I G _ ❑Ldldrtd mpy iShveCY����s�tA (�E � .�� � o �oi��a�o�r rs i��a w�m me e��ia��o i�:�uo�ony�m.��a oro.++�� � GRADIN G ^ = CEfl�FKA(E OF E%fMPT10N iROM WORKfRS'CDhiPENSATION INSURANCE ih�s uctwn nnd not be tompkted ISSUANC � .��_V l.! � y A Ihe O��mn is lar one nuNreO(SIOCI a kss I perTfy tlya�n�ne!�,rll��ef IM wpt for wMcn Ihn `.�, perm�t rs nsueA.I shall rot empby nry person m aM M+nnn(o h�rtbsome 4:hlrcl b IM NEi1ni Cmpenvtan SMIP � � O� o �,w.o�a�,ra�� G t:-'�_,::�',_,`' PARK FEE � �" AOD�"'�� u- SCHOOL FEES � NIIIICF TO AFPIICANT M.�lu�m�linq th��CaolKne ol ExmPtan.you tbuld k�eme wh�ect ro tlr 14Mka't ---� Cwnpensahm provit�ms al tne l�hor Code.�i�j lort��!vomply�+n�r h pornans a Na pm�n�hdl � oe aeemea iewteC p �i � � OM1iS10N OF WOUSTAIRI SAFEIY PEH6111 C£RTIfCJ1TI0N W a ❑I ne�eey andy mu no e.u.sioo•hre 15��a+�oe Mt m depM nm wluch i pKson u nqmid lo lescand. s w�tl 6e m�Ce n[o�ectan w�N wak Iuthn4ed by�tlw�p�mni,�rd N�t n Eu�kyq ivu�tyre,tulldd�np,lalswvak, d a Oernol�unn m UismmNnp th�eal.Witl`pP lnare tlun•tM1rtry�sn 1�1�Mq�/CND.71.Grp I.An 1.Sa W3al.f�tl<B.CACI •. �_••. .•�••• ' ���.•' �• ��� •-i i x 3 ❑As wme�d.We..I w��iroi e�robr+�W�e ro du waY whwh wwk«yun a pe.rni hom Yr Qram d � I�sunl$�IetY.u note0�Covt.uikfs wch prrfon lus t Oermt pp Oa fuc�wat han t�e Irvnan. f W ❑pnsrondMusnuiSaletYRrmitNo TOTAL FEES ' d � Cpi$fHUCfI1N IENDING AGENCY I AereCy N1nm tut Ihn tl�cpnttutopn 4nEinp percy b!k pwtpmmcl I z al Ine wor4 In whrh Mrs pmm�n nued 1Sec]097.Gv LI � 1ni°°""'"" COMMENTS mlmaer•s aaeiev Q QftTIFfATE OF Cp.�111AlCE ANO H�§Z ENIflY I teroly 1 Nv�nd U,s�yMs�tm rd stMe ' V) �hat the nlnm�ron prvm a trcrt prte wrth aA tt Iwvf wd ah nMrKa nYtrq huNnq yconsvutnn.W w� e� �nrve tment dd�np rd S�fetY b siw�on pqrrh � lu.hcn I Aaye b thm m�k. sp.ceona X su�+�Wa d am a rpr�e p. 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