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HomeMy WebLinkAbout1073 . Y�1 c. 9�0-o�3 CITY OF DIAMOND 8AR PRESS DEPARTMENT OF BUILDING AND SAFETY F�RMLY 6UILDlNG PERMIT J08SITE � �'��N ��� E ADDRESS ��E ISSUE�_ —�J Z�� '�ER �' �' APN LO TRACT• DATE CON51'. GROUP a CROSS STR G 20NING �M�S � 0 °� OWNER .D/U RF..NR � � ADDRESS � W CITY � ' • ZIP TEL. StDE/SIOE S7AEET RW EJ e APPLICANT TEI. SiDE � x � CONTRACTO �� SEV1fAGE � pIJgLIC PMT� o ADDRE� _ D���- O PRNATE 9Q.FT:/100 CiAL. � CITY LV1G°.� ZIP TEL. � STATE ¢s'-��Q _ � �� �pqpWG �CU.YDS EXC. CU YDS FlLL y LIG NUMBER PE �p� �p�pp pS AO.t. AREAIVALUAT ON ; � ARCHlENG/ i1 5 �' �"���.1 � 1 . = �ESIGNER ��� �,�J 2 " g ADDRESS �--�`�—' u�» � CITY /�U/ ZIP C-� 'TEL.. �} 3 W Z � PROPOSED USE� d � I• � � � GARAGE � NO.DWEL. NO. NO. � ppRp{ y UNITS STORIES BEQROOMS s LOT DIMENSIONS � VALUATION �1•�� o NO.OF BLDGS HOW �'M L'1ES' R1PT'ION • FEE ' - . W ON LOT USED � a ._ W G � ���e/� � � tx xacroxs o�awuruiu:��.nuv rnr�mn i rn`ce�na udr rw�am M ar�r e �� . 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TRIC �8 i � � NONKERS'COMPfNSATI�N OECLARATIW:1 MnM dlim un i�we�eawicm a ma.m r an-iuw.• : . �ceruL��n ol Nbrtaa'GnPnufion Inwmc�.�r�arN'Nd uPY M�oi�[�&10.ltl.GI� B�{u� ` ❑GrMNd eopy if Mn6y furtxsMd. :� MECHANICAL {O Q Grhlrod capY it tiled witl�O�e Buddinp Mfpeetim Orprun�nt n 4Pd�. "� G i G = CERTIfICATE OF EIIENPT�N Rt01Jl Wf11KERS'CUIPEN5411W NSUMML4:Tlw sc�n�rd mt M ta�ikrd ISSUANC ����� � il the permrt is tor on huWM If100)r Ya.1 artify Wt w M lerbnwin M M Mak Im whiM Mia y p�r�t h�auw,��h�t ro�empwr mr Knan M��naxe yx n r��,e a.wrwr ca�w� � SMIP S ►�:m cr�ro� 1 e w�. _ ��'r����' PARK FEE � �ur�ro�riwr.r..im�w��w�c«.,�a E..��.w wae���•ry w�.•. �. 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