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` z ` APPLICATION FOR BUILDING PERMIT
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FDate ! 196 Permit No. �2
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Application is hereby made for a permit to r
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ato a story,Type uildine
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to be occupied only as
'•, o o in accordance with Plans, Specifications and Plot-Plan filed herewith.
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3 Estimated Value of Improvements, $0 Fee$ D
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z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and.
z all other laws applicable to the construction location, and use of buildings within the City of
t d 0 Cupertino will com li wt �
3 ' OwnerAddress ELIBy AddressAPPov
'y� 7 1 State LICCnSe n.DING INSPECTOR
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