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HomeMy WebLinkAbout13572 (829) � EkPIf�ED �� CITY OF DIAMOND BAR SE P 1 O ZOOZ DEPARTMENT OF COMMUATITY&DEVELOPMENT SERVICES � 21660E.CopleyDriveSuite190 PRESS (909)860-3195 Fax(909)861-3117 . ''���� BUQ.DING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION _ PERMRI� �J�E �I/� o ADDRESS..,L,�__'�d� �� DATE NUMBE14 i V y V � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER V ZONING SETBACKS ADDRESS "' CITY ZIP TEL • . FRONT RW ❑ APPLICANT TEL.ZC3:3 REAR � �� SIDE/SIDE STREET RW O � CONTAACTOR SIDE ❑ � ADDRESS /�'y'�,� OPOSED USE "r,; �' Or'��!-'G� l'An�1M�12(I j}j� CfTY � ZIP,�^�.`�?6•�EL � ARC NG/ � �Z DESIGNER � ADDRE � NO.DWEL. NO. N0. UNITS STORIES BEDROOMS N CfTY ZIP��Q��TEL. y DESCRIPTION SQ.Ff. 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' . O IIUA IXEMPT UNDER SEC. B.1 i.C.FORTNIS RFASCN U � LL" DATE ONTlER F� . • . � W UCENSED CONTRACTORS DECLARATION W � IMEf�BYAFfliWUNDERPENALTYOFPEiWRYTFIATIAMLICENSEDUNDERPROV15lON50FCHAPTEF Ur s •(COAMAENC7N(1YATMSECTIONIoOoI�OM5iON70FTMEBU5INESSANDPROFE5510N5CODE,MID Z � UY UCENSE S N FULL FOR D EFiECT. 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