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HomeMy WebLinkAbout1245 (11) , '�'� CITY QF DtAMOND BAR pRESS DEPARTME$UIL.D NGE�RMITNQ SAFETY FIRMLY J06SCfE APPLICATION PERMIT ADDRESS IS�.SUE �'I� "� Ty E�R.. �CODE � APN LOT TRACT DATE �� 13��� CONST. GROUP o CROSS STRE SETBACKS �+�+E� °� OWNER �-d b Oe2 _ Z�NIN(3 FROKT HW ❑ o ADDRESS ,/�D D lI rCH (/t�2.[)/�'G�. REAR � ❑ ,� CITY T)ll4h'�c�h1D �h�P TEL�I�L�S'SLY2 SIDE/SIDE STREET RW ❑ o APPUCANT 1�E}/UCIv€ .�1+�i7��i 7��,��'�/3! SIDE ❑ z � CONTRACTOR � � � L�L SEWAGE ❑ pUg� p�� o ADORESS � DISPOSAL W CITY � �' � ZIP ��,. 0 PRIVATE SO.FT./100 GAL z STATE y LIC.NUMBER y�Y/ �g� GRADING �CU.YDS.EXC. CU YDS FILL h ARCH/ENG/ � TYPE S(a FT FAGTOfi PS AD,f. RREANALUATiON � DESIGNER_ � � o ADDRESS �y, 2 = CITY ZIP L. (� 3 � PROPO ED USE — Z 4 � �X15��,rlC(� � GARAGE � � o NO.DWEL.�� N . NO. 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J MECHANICAL o ❑CeMroA copY a��d vnN tM&uWinp Maqcbm ppxmxn�p o�,r�,. d GRADING `" ► . .oa = Cf11TIFICATE Of EJfEMPTIDN FRdN VYORKEFS'COMPENSA7IW MiSUflANQ-11w e�ttqn ned rot h t�rtqkkd ISSU yil�he permn"s la am hiMred fSl�f w bs.I wWy Nat m ri�prtormu¢�W IM waY br wliic n � anmrt is usued.I shdl rot�mobv nr prmn in am edne pb�xt b IM YWrYxi Cam cion ( ��� = Uws ef CYrtornu. � � �,,, '��/3 -5'v w�,,, � PARK FEE � rar�ro aaat�cnNr n.ru��w��,n��c.�"`'�,v''o,(,f' a �mWe e��«�m n�vwr.,•� �- SCHOOL FEES �w � CanPMsotm O�mans d�he la6or Code.You�Mhx.'.eh+pmply iM�eh Mavoam s fAis I�K M,M . 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S �"'"°""""° COMMENTS m uoe.;,�aa.ss � Q11TIfGTE UF fAMPIIANCE MID AIRIqItl2AS10N Of EtrtPY:I vvly 1 hnn roE�ks yd'c�om�d apr �a n,.t ma.rtarm.00n�en e arrM.I ypa eo aanNly w�n dl mu w.t rilr adirw�IYOiq m Mddma y �ni auMoiin a rprtxnuw�d tlr Uprtmn�d SaMY b�n�p�pon b pcperry � ch 1 N e ed lar ai perme M tpe prpo�e d�in w X . 7��-yi� Q'� �r�,�„ — a� RECPT NO.�_PIAID BY��_,.,L_VAUDATION WHITE—Departmern Copy,YELL Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—1tpplkaMs Copy ..._ .._...._. ,. . .... ._... . . . _.. . _ . .. . .._. _._ -�,:� -- - - -•-�--r . .- , . - _ . _. , . -• , . .: _'•�""'`�`".•"' �`."""„' ... ��� �� �i����� �� ::._,. . � - �����L.� 1 ��3'� #'i�i.o�..T�A� � f:,- � �� . 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