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58 OT NO. NO. STREET ..:1" Q ?1 3,� APPLICATION FO�`Br_ILD G, PERMIT CITY OF CUPER NO taniary 'ate - ', lI No. tDSte, "- � �- �• '--C 'P� 196 -Per . LL Application is hereby made for pert jt to 1 041� nV Q n •-;a fib. stay T'pe Q n� Building w l r ato be'occupied only as S 1 Z Q C`�t c�1. I, ` `o o in accordance•with Plans, Specifications and Plot Plan filed herewith. J> W C OC> 3 Estimated Value of Improvements,$ Fee$ '• i.al it is hereby agreed that the requirements.of the-Cupertino Building and Zoning.Ordinances and �J z all other laws applicable to the construction, location,.and use of„ibuildings within the City of d o Cupertino will be complied with. Q _ N Owner . Address wz ww Address W a ,.By u. .. �3 U `•Phon '2' Approve �? State License BUILDING INSPEC R . �J e � J Q H U V U U U V 'V lFl a N a a a CL IL Q z Z LL < < < < < < < 0 , v HM ti