51167 (4)LOT NO.
,60TAPPLICALPLCII
N FOR BUILDING PERMIT
TY OF CUPERTINO
?DEC 151967'
sanitary No. S3 �•L�/=
Uate "ay. , 196 Permit No. 51167
C! Application is herreeb Dmade�tfor a permit to elw /
a story, Type ////-/' Building
to be occupied only as . Sz�x in accordance with
Plans, Specifications and Plot-Plan filed herewith... Pi Ck Fee
Estimated Value of Improvements, $ A - Fee $
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with. - DITZ-CRANE
Owner Address 000c M t A rott7 w Vt),
By Address S •� CLARA, CALIF. 95050
Phoneprove
State License 8 NO INSPECTOR
A l