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APP% CATION R BUILDING PERMIT
CITY OF CUPF.RTINO
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Applicat oneis hereb madelfdr.a it to--
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Estimated Valiie of Improvements,$ _— Fee$
d�z J -It is, e4by agreed,that the requirements of,the Cupertino Building and Zoning Ordinances and
r� z Fall~other laws 3pplicable;to`thesconstruction, locatiop, and use of buildings within the City of
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State Lice nBUILDING INSPECTOR
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