2656 LOTNO.
NO. STREET
W Q I.�GATION FOR ILDING PERMIT
oOr L ® OF CUPERTINO
o a (} Sanitary No..
3 LL Da �/ - Sera— ermit No.�
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a - Application is hereby made for a r it to
,I s� e
a w Ciyr OF S
a st ry, _ / Building
to be occupied only
oN in accordance with Plans, Specifications and.Plot-Plan filed herewith. o0
> 3 Estimated Value of Improvements, $ Fee$ ______
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws pplicable to the construction, location, and use of buildings within the Cityof
d O Cupertino w corpli ,ayf'th. " I
3 < O �� S't• Address 766 Se .
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W �By - - Address
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