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LOT_gLS APPLICATION FOR BUILDING PERMIT
Date-------- I................ ... ..............195....... budd ..rmi+ No..j 3'3Y---=---------------
.... ....
Application is hereby made for a pe-rmit to--------.---------.........................--........._r...................
one story 1
V� VQ Le it
.........
Lot...�o�'--a se rao , 6" j 3�ajn P -ilding
AM-
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0116----fialy- &---
to be occupied only as--------------------------------------- MOWW' -K----------------------------
---— --------- -----------------------
in accordance with Plans, Specifications and Plot-plan filed herewi$'LAN NO.
Estimated Value of Improvements, ------
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
Owner--------------..... ...... Address.......�200rj----j;_1---- ....;oal----------
LIvH[ul110MIX1,... --------------
By-------------I Address ....
ront, ;4�--L`
Form 2M I
. AG Le SH,'.Pk
X! RECORD OF INSPECTION
Foundation_ .................
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