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HomeMy WebLinkAbout116 •, y '"� CITY �F DIAMOND BAR PRESS '-`'" " DEPAR'TMENT OF BUILDING AND SAFETY � � BUILDING PERMIT FIRMLY JOBSITE APPLICATION / �'� PERMIT USE ADDRESS ���o D 7�IJ T�H I�//;►"1C rJP 81�� �U� �(� TM�R �CODE � APN � LOT�TRACT 2 7 DATE � �CONST. GROUP p CAOSS STREET SETBACKS ""1O"E'E"15 °� OWNER �r.f/r4iz.t�_ �,91�G ZONING �OM � ❑ g ADDRESS K REAR ❑ W CITY l�/i4.Nol�1 p f4t9R2 ZIP`�' L7�'�TEL. �° ' 6 SIDE/SIDE STREET RW ❑ Q APPLICANT TEL SIDE ❑ z � CONTRAGTOR SEWAGE o ADDRESS DISPOSAL � PUBLIC PMi� W GTY ZfP TEL. ❑ �IVATE SQ.FT./100 GAL = STATE GRADING ❑CU.YDS.EXC. CU YDS FILL y LIC.NUMBER '��' ARCH/ENG/ � NPE SO FT FACTDR PS ADJ.AREANALUATION `=' DESIGNER �FT� IfNL/SF/�� W 1 ' � ADDRESS 30 G/1N � '��" w 2 0 = CITY fAl�4l�IJ V T ZIP � TEL � �n 3 � PROPOSED USE p e � Z 4 � �Ov51�- - - - --- - � GARAGE U o NO.DWEL. 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Q d5951ON Of Wql$fplAt$AFETY PERMIT CEflTIFCJITION ����.�y_��p�C A � ��\ p r�� . � ❑I�ercny rntdy tlut na ertav+tm Me(5)p man hel m depih nm whch i persm is�qurd m Humd. 8�,��- � wm Ce made n tmrccran wrtn wait�utMvM C'/tliu R�mn.�nd Ih�t no hwibnp roruau�.�[tlldMp.lalwwak. ' � n Em�oYiim a tlismantlnq thereol.w�l Ge mne Cun Mrry�v�1�1 hei�q�(Q�q 32.Crp Y.Art I.Sx W 171.TiteB.tAt) 2 3 ❑A.s ownn WdUn.1 wd not�mpbY��b Ao wvY wMc�waN�pun�pnmt ham IM Qwm d � YiNSlrul S�IeIY.as nokd i�o.x.un4s�wc�penm 4s�OMmI lo Ao wc�nvY Lom tl�e Enifun. � W ❑U.�+m olldumu�S.kry h�m�t Na TOTAL FEES � v CONSTRUCTION IENOMIG 0.�ENCY I liertbv d�nm Nn�hn u�em�cu�uon 4^6^e�war ror w.wMmrce � z ��K���ia.�n m„o�•m�u o,�.a rsK aos�.a c� � �'""°""""� COMMENTS m �ua�rs Aen«:: t CEIRIFCATE 0(Cp+1Pl1ANCf AND AU�IOfa2ATla1 p[NTRY I cnM�r 1 hw rt�d 4s ypluam ni rtir 1 fn pin me nlam�uon Pnn o mrict I qa ro mmyy wrth N sur bwt�nd ary aMmca nMuq N h.W�p . y [mstru�tun.rd wiNavt�reoRx��,�ne o1 ar 0.wm.n�d B�.ia�q rd S.Mr m w�rr wM te Mew�M I lwr rd M tl�n pnmq ih m ol m�Y�ry iny�cLw � � / X �' µ" ��� ' � ��� RECPT NO. �O PAID BY �j VALIDATION ' l iu�d t a/pmt O�n i� WHITE—DapeRment Copy.YELLOW—Finanee Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appieann Copy � / . • .�: ` • �' 6� S', •�.. 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