51177.1 NOSTREET :�. .. tC
y/.D•f//yt/ I'C�'�C�''.''�/7`''.r'A
z ¢ rl APOLICATION' FOIR BUILDING' PERMIT (�
CITYI'OP CUPfRTINO
Sanitaty No.
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W
Date -- 196 .`FermitNo.
o w Application Is ht Uy�mit e mliyto
story%�'Fy' eh? Building,.
to IbC cc- pled only ain accordance wrtk"
00 Plans,.Speafications and Plot Ylah Icd hgey, � ty. .p.i Ck Fee?}'` I
>. .
Estimated Value of Improvements,_S�`r-z�'G U ,a Feeco
z,J It is hereby agreed that the'reguirehients of the Cupertino Huildinp•and Zoning,�rdmances aric % i
all other laws applicable to the construction, location, and usiY'of huildings within the City f of
7,xd o Cupertino be cono'hed With. s .. t,tn•
4a < , � .
_ N Owner Address ZZe
• ..� a By '�-r-/ �,.,r . �r _ Address :t
< o .' Zs7 2G5.3 •
Phone Approved
uY •�; ,/ 1 .Jt�/ ti.','�•.flt 'fit" fi h•P,�+'f51Y'�Cv BUILDING IN51 FCIO 1i4
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NOTICE OF AI � iW It�l�'AL CHARGE
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