51181I� _;51Y'111JT d'/�9///!'7L. �t�lC,f l� LOT NO.
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W / APPLICATION FOR BUILDING PERMIT
°CITY OF CUPF.RTINO
0, _ IIEC 15 1967
Sanitary No. .,5.33 G
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a Uatr---•-•— 1961 Permit No. S/X�
0 ' : 7 Ut' t�t.•i L'I(I IIID �
o Application is hereby made for a permit to 41 z
i U) a ZVC— story, Type /��-/ Building
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to be occupied only as in accordance with
2 o plans, Specifications and Plot -Plan filed herewith. PI Ck Fee
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Estimated Value of Improvements, $/�l/O Fee $___� �—
iJ 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
oCupertino will be complied with.
3 DITZ-CRANE
_ W Owner Address
W W ' C LN \.KVL OLV V.
as By _.l.'ll/C�, .f-//!/////1Gfz AddreSSA.-ter •non rn��r. cr.�cn
a U Phone APP rove
C' State License '/x RgRlffNGXNSPECTOa