480 f LOT NO. ry
STREET
,No APPLICATION FIR BUILDING PERMIT
® 'CLTPERTINO
Date gg��- 5: .. Permit No.
Applica on iissTeerre4 SRAM a it to�(�
a St TPERTINQ Q Building
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to be occupied only as _
in accordance with Plans, S fications and Plot-Plan filed herewith. 6
v Estimated Value of Improvements, Fee$ 7`n
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino win be complied with.
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Owner 16 4 � Address eLZZ 7
Address ,&C�-7
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BUILDING INSPECTOR
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