2057 NO. ` lA
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C" TIL0p'N�; FOR B IL ING PERMIT
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° a 6 - 1562 lialmlf;�1 Sanitary No.
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w Uate 196_ Permit No.
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`o Ulplfca�li is GUR pe 't to
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a a story,T w
to be occupied only as
0 o in accordance with Plans, Specifications nd Plot-Pl�l�led herewi . 00
F3 Estimated Value of Improvements, $ is Fee.
z J It is hereby agreed that the requirements of the Cupertino Building avid Zoning Ordinances and
"j all other,laws applicable to the.construction, location, and use of buildings within the City of
d O Cuperti -w'll be,Corn
p{'ewith.
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a '� Address/6J-/,O C f:4iCL,5Al
W a By . _ - %f 4& Address .x99 PAN.W d .
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° -Phon : 7 Approved i ti
State License99! �� ��/_ IL ING INSPECTOR
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