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ORANGE COUNTY BUILDING DEPARTMENT APPLICATION FOR PERMIT �
- 636 Noreh Broadwa7 _ ' . " ' . � �' � D � � ^
SANTA ANA, CALIFORNIA V
STREET
PLOT PLAN
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COSTA MESA BUILDING-SAFETY DEPAIirMEPR
P.O. BOX 1T�0 COSTA MESA� CALIFORNIA B2E2E
For Applicant to Ftll In Campl�ta(y
TYPE OR PRINT
uun.n�Na ,� 884 GOTBT'IIOT 8 t.
ADDR6D9 �
COSTA MESA, CALIFORNIA
o,N,ag„ �Domingo P. de la Cruz
MAIL �g64 Go�ernor, at.
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DESCRIPTION OF WORK
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OCT -3-66 QO 042 ���*"*5.00
ArPLICATION FOR PERMR
6UILDING
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A.P.NO. P1 �'J ��O Z —.�7
NOTE: NO EAV! OVfiRMANO BXALL E6 Ll88 THAN
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MAIN BUILP�NO
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