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�•• - LOT NO.
NO. 9TREET 'I
PCTION FO BUILDIN
G PERMIT
° CUPERTINOT •Sanitary
No. �-
4 Uate t�SEP 18 X63 `t 196_ Permit No. '
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lic n i e eb ade fora er rt to
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'z-m a story, yp Building
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to be occupied onlya
p `o in accordance with Plans,*Specificatio and Plot-Plan filed herewith. 00
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Estimated Value of Improvements, Fee$ 5--ja
zJ It is hereby agreed pertino Building and Zoning Ordinances and
J Z all other laws.applicable to the construction, " tion, and use of buildings within the City of
J 0. -Cuperti it loco—a ie`d.with. 1
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m •Owner Address
m ddress i !
a 0 Phone `J�- A's�Atove
_ State Licens -
LDWG INSPECTOR
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