03040070 (4) CITY OF CUPERTINOn+' +'x '4< ^"
BUILDING D7 VISION PERMIT • ,CON'TRACTORtIN'k'®11 RMATIO ':
s..::3.1a.....:r�u ..%u teerr uLjBWDtst 4�r.w <
BL"W?19DRIFELESTE CL MARK PEYSAHHOVICH PERMIT NO.03040070
DVtMKAmPEYSAHHOVICH "TESD8T711/2003
SANITARY NO. CONTROL NO.
ARCHIt71.T/FNGINEER: BUILDING PERMIT INFO
BLDO ELECT PLUMB MECH
0 0 0 0
lOo LICENSED CONTRACTOR'S DECLARATION Lob Description
�u Fpg 1 hertbY amrm that 1 Am liceved under provisions or Clapter 9(commenting P
a�S Wlth SecRon7glm or Dlvialon 5 of due BusineuaM Profession Code.and my license is UF
nn �
=h in full to.And eactt CLOSING THE LOFT UF0IIVAILE®
y z License Class Lk.0
pppp DaleContractor
f - ARCHI'IECI'S DECLARATON G
PAY da O 2003
e 1 undersand my plum shall he used as puhlie record PAY J
yyU
`p(n Licensed Pmfcssional
3 OWNER BUILDER DE Cc Coni ON r3fl PLOING
7 1 Wmhy.( That 1 em exempt from the ComnctCo License law for the ILXJ(IIIYIII gYUV
2 U o following recon.Permit
t 7 coon.Business and tie-&ons Cole: inY city m county
SUES
which requires a permit to etmswn.Jnr,improve-dempluh,o mryir anY nruemrt
-ai poorm is issuence.atsu rtqulres the apPliunl for such permitm Elea signed smemcm
Y�l��ion
E < that heisiccnsedpuersmttotheprovisions OfUse Convector"Luse—LAW(Chapter 9 Sq.Ft.Floor Area
y ZF$ (commencing with Section 7")of Division 5 of the Business and Professions Codc)of $
that y Scot.n 7011 5 by ant aPPcenmpt di er e pemdbasis t5ubjoW the N Applicantpto.MtviliOlAtCon Of
Penalty of
not more man An hundred donors($500). 3 SBS AI0nI1�S 0 0 Occupancy Type
I,As owner offt pmpeny,or my employees with wages a theirsole compcnadon,
will do me work and the structure Isnot intended muttered forsalc(SOL.70N,Bmirrss - FOUND4E{ dInspections
And Pmfwions Code:The ommAxor'l Liame Law does trot apply to an owner of 102 - PIERS
pmFny who Wilda hohopers.utherem.And whodms sochwerkhlmaelfurthmugh Ma
ownumployees,pmvided thatsuch impmwmcnts Are net imendedmoRemA,orale It. 103 - UFER
however.the building or Improvement is sold wlduin oee yea of completion.me owner.
Wilder will have tk burden of proving mat M did not Wild or Improve for purpose of 104 — REBAR
105 - ANCHOR BOLTS
❑1,As mune,of on,pmpeny.am exclusively contracting wise licensul eontrectma to
consumer the project(Sec.7044,Business and PmfuJov Code:)The CrometorY Lb 106 — SEWER & WATER
m.taw doe not apply to an owner of property who build or lmprows demon,and. 202 — UNDERFLOOR PLUMBING
ho convects for such projects with a eonuacmr(0 licensed pursuant to the Contractor's
n,ke�L.w. 203 - UNDERFLOOR MECHANICAL
Ianeemw cc. .BkPC i n
GGdp��r/( D.te 204 - UNDERFLOOR FRAME
WORKER'SCOMPENSATIONDECLARATIO 205 — UNDERFLOOR INSULATION
lhertby Amrm under penslty of perjury one of de following decluailanc 301 — ROUGH PLUMBING
wend will mainainaCWfimu of Conscnuo self-imumfm Wmtrls Campem 302 - TUB & OR SHOWER
en,a prLridm for by Smdon 57W of the labor code,for the perform.uoe or Ban 303 - ROUGH MECHANICAL
work for which this permit is Issued.
❑1 have and will maintain Worker's Compensation Insurance,a reyulrtd by Section 3 04 — ROUGH ELECTRICAL
37M OF due labor Costs.for the performance Of the work for which this munitu Issued. 305 - FRAME
My Workcfs Compensation Insurance canter and Policy number ALL: 306 - HOLDOWNS
L
Policy No.: 307 - INSULATION
CERTIFICATE OF EXEMPTION MOM WORKERS'
COMPENSATION INSURANCE 308 - SHEETROCK
(Dr"=Lion need not he mmpewd Rti,e perch is for one hundred dnRara(s loo) 309 - EXTERIOR LATH
or it.)
1 eenify that in the performance of the work for which this permit is Wood.l shall not 310 - INTERIOR LATH
employ any person in any manner an As to become object to the wortureCompensation 311 — SCRATCH COAT
LewifoDee
Applicantlicant min313 - ROOF NAIL
NOTICE TO APPLICANT:It.After making this Ccnificatc of Exemption.you should 501 - FINAL ELECTRICAL ENERGY
become subject to the Work.'.Compensation provisions of the lata Code,you must
,7OfTowimcomply with Loch pmviJnmofthis permit shall xdemeedmvuked. 502 - FINAL PLUMBING ENERGY
Z�
CONSTRUCTION LENDING AGENCY 503 - FINAL MECHANICAL ENERGY
I nmhyJnmm.tthemisamnswnionlendingagencyfnrtheperfotmmmuf 504 - FINAL BUILDING ENERGY
W> work for which this Permit Is issued(Sts.3097.Civ.C.)
W q L.ndc:'s Name 505 - FINAL ELECTRICAL
az y_nd an• edma 506 - GAS TEST
U O 1 senifY that i baw read this application and mu that the above inf.ALlm is
w507 — FINAL PLUMBING
F mrrecL I agree to comply Will,JI city And county ordinances sed sue laws mixing m
0 V buildingconstmction.end hereby authorise mpmsenatives of this city re enter upon the %j%MEC CAL
W abowmentioned propenY for impecdon purl+m�•
(We)Agree to saw,Indemnify and keep harmless the City of Ctpenino.gAhOt,n Ilabilides.judtm.na.mats.nde.,.Whichon.ymanyWay....gemaaidCity NG
V in eomequenmof due grantingof this permit.APPLICANT UNDERSTANDS AND WILL COMPLY WITH ALL NO PD1 Issued by: C WORKS Date
SOURCEREGU TIONS. /
Re-roofs
Si one of ApplianUContuacer Dank
HAZARDOUS MATERIALS DISCLOSURE Type of Roof
Will the applicant or for.Wilding Occupant am.or Nrdlc haudom meteoal
As defined by the Cupertino Municipal Code.Chapter 9.11.and me Health and Safety
Code.Schon 25571(a)1
yes 9 1 No All roofs shall be inspected prior to any roofing material being installed.
Will the applicant°r future Wilding occupant use equipment or devices Which If a roof is installed without first obtaining an inspection,I agree to remove
hanodous air contaminants As defined by the Bay Ares Air Quality Management all new materials for inspection.
kt7
0Yea y Nu
I have seed the heardms maed.ls mquWrW,ms under Ch.,Wr6o5 of the Celifoo
_ nuflcalmkSafcty Codc.S van U505.2557Jam175514.1unh:mandhulfde Willing
does not currently haw.enan4 dust It is my mapommllity u,noufy duo occupant Lure
requo, cntsW ' h ugbemetpdorusissuanmoraCcrulkate1 e �3 Signature of Applicant Date
llesys
nerror.umorlsrd cant Date All roof coverings to be Class"B"or better
- �Y OF CUPERTINO 0
ror. PERMIT APPLICATION FORM
CUPEkTINO
N# / Date: %17 /G3
Building Address: v�6 P C_! 2 7/ /
Cu v
Ow er,s Name: /� Phone#:
w r'c G, Yob - y 3 goo s
Cont or: /^ ///� / License#:
A k
CAJ
Contact: Cupertino Business License#:
Buil ing Permit Info:
Id Elect ❑ Plumb ❑ Mech K
obe iption: � //
R ential ® C/O-S Ck_ ��ie_ �o / Commercial ❑
Sq.Ft. Floor Area: $/Sq.Ft.:
Cost of Project: Occupancy Group:
Type of Constructi n:
•
Quantit Fee ID Fee Description Fee Group
BAPPLOTHER Other Appliances MECHANICAL
BBLDGFEE Bldg Permits . foot BUILDING
BBOILERI Boiler<= 100,000 Btu MECHANICAL
BBOILER2 Boiler> 100K to 500K Btu MECHANICAL
BBOILER3 Boiler> 500K to 1M Btu MECHANICAL
BBOILER4 Boiler> 1M to 1.75 M Btu MECHANICAL
BBOILER5 Boiler> 1.75M Btu MECHANICAL
BCONSTAX Construction Tax BUILDING
BCONSTAX Ind/Off/Comm/Quasi BUILDING
BCONSTAXBQ Con. Tax for BQ Zone BUILDING
BCONSTAXH Hotel and Motel BUILDING
BCONSTAXR Constax—Resi/Mobile BUILDING
BELEC1000 Elec 600V <= 1000A ELECTRICAL
BELE C'1001 Elec 600V > 1000A ELECTRICAL
BELEC200 Elec Svcs 600V <= 200A ELECTRICAL
BENERGY Ener BUILDING
BENERGYADD Energy Add Multi BUILDING
BINVESTIGA Investigation fee BUILDING
BMITIGATC Comm. Housing Mit. Fee BUILDING
1of3
I (SQ
C*Y OF CUPERTINO r
CITY of PERMIT APPLICATION FORM
CUPERTINO
uanti *BMNEWMULTI
Fee Descri tion Fee Group
Res. Housin Mit Fee BUILDING
New Multi-Famil Res MECHANICAL
2F New Sf&2F Res Bld s MECHANICAL
TI Multifamily Res I ELECTRICAL
BNUCOMME New Comm Electric ELECTRICAL
BNUCOMMM New Comm Mechanical MECHANICAL
BNUCOMMP New Comm Plumb PLUMBING
BNUMULTI New Multifamily Res PLUMBING
BNUSFD New Single Family Res BUILDING
BOVERTIME Inspection Overtime BUILDING
BPBACKFLOW Atmospheric Vacuum PLUMBING
BPCESSPOOL Cesspool PLUMBING
BPERMFEE BldgPermit Fees BUILDING
BPFIXTURE Pbl Fixture PLUMBING
BPGAS Gas Piping System Fee PLUMBING
\ BPINTERCEP Ind Waste Interc for PLUMBING
BPLANCHK Plan Check Fee BUILDING
BPLANCKADD Plan Check Add Multi BUILDING
BPLANCKREP Plan Check Repeat Fee BUILDING
BPREPIPE Re i e Of Fixtures PLUMBING
BPSEWAGE Sewage Disposal PLUMBING
BPSEWER Sewers PLUMBING
BPSPRINK Lawn S rinkler/Backflo PLUMBING
BPSTORM Storm/Rain Water PLUMBING
BPTRAP Kitchen Trap, PLUMBING
BPVENT Alt of Drain &Vent PLUMBING
BPWATER Install/Alter Water Pie PLUMBING
BPWHEATER Water HeaterNent PLUMBING
BPWSVCS Main Water Service PLUMBING
BREINSPECT Reinspection Fee BUILDING
BREMACOVER A/C Unit> 10,000 cfm MECHANICAL
BREMAIRHAN A/C Units <= 10,000 cfm MECHANICAL
BREMAPPLI Appliance Install MECHANICAL
BREMBUSWAY Remodel Busways ELECTRICAL
BREMFDCT Li tin Fixtures ELECTRICAL
BREMFURN Relocation ofFumace MECHANICAL
BREMFURNOV Relo Furnace> l OK btu MECHANICAL
BREMHEAT Heater Installation MECHANICAL
BREMINHOOD Installation of Hood MECHANICAL
BREMMISC Misc A aratus ELECTRICAL
BREMNRAPP Rem Non-Res Appliance ELECTRICAL
BREMPOLE Pole/Platform Fixture ELECTRICAL
2of3
j�Q,. CITY OF CUPERTINA
n
CITY OF PERMIT APPLICATION FORM
CUPEkTINO
Quantit Fee ID Fee Descri tion Fee Grou
BREMPOWER Power Device/AoDaratus ELECTRICAL
BREMRECEPT Rc tl, Switch &Outlets ELECTRICAL
BREMRELOCA Relocation of Hood MECHANICAL
BREMREPALT Re a4r/Alfe,Ppnflra MECHANICAL
BREMRESAPP Remodel Res Appliance ELECTRICAL
BREMSIGNAD Rmdl Signs Add Branch ELECTRICAL
BREMSIGNS Remodel Signs. Marquee ELECTRICAL
BREMTHEATR Theatrical Liphtiniz Fix ELECTRICAL
BREMVENFAN Vent Fan Single Duct MECHANICAL
BREMVENSYS Ventilation S stems MECHANICAL
BSCBLVD Scb S ecific Plan BUILDING
BSEISMICOM Seismic Commercial BUILDING
BSEISMICRE Seismic Fee Res BUILDING-
BSPECIAL S ecialIns ection BUILDING
BSWIM Swimming Pool BUILDING
BTEMP Tempnrary Power ELECTRICAL
BTEMPPERM Tem or Bldg Permit BUILDING
BTEMPSVCS Temp Dist Svcs ELECTRICAL
BUSLIC Business License BUILDING
ELECTRIC Electrical so foot ELECTRICAL
EPERMITFEE Elec Permit Issuance ELECTRICAL
MPERMFEE Mechanicals . foot MECHANICAL
MPERMITFEE Mech Permit Issuance MECHANICAL
PPERMITFEE Plumb in Permit Issuance PLUMBING
PPLBG
Plumbing Fe sq foot PLUMBING
ZADDCHG Address Chane BUILDING
•
3 of 3
10300 Torre Avenue
• Cupertino, California 95014
Telephone: (408) 777-3308
FAX (408) 777-3333
COMMUNITY DEVELOPMENT
17 p
April 18, 2003
tP
Mr. Mark Peysakhovich
20676 Celeste Circle 7
Cupertino, CA 95014
Dear Mr. Peysakhovich:
After review of your application to enclose an interior loft in your home, it was determined
that you do not need a Director's minor modification for your project. You only need to apply
for a building permit through the Building Department. I am enclosing a refund check for the
$202 application fee you paid on April 7. We sincerely apologize for any inconvenience this
may have caused you.
Please do not hesitate to call me at (408) 777-3297 if you have any questions.
Sincerely,
Nancy Czosek
Administrative Secretary
Enclosure
g:/planning/correspondencepeysakhovich
DE ANZA FORGE HOA
c/o Condominium Management
P.O. Bo:906—GmpbeU,G {408)369-990—(408):S69-5198 Fax-
April 3, 2003
M. & P. Peysakhovich
715 Timberpine Avenue
Sunnyvale, CA 94086-8336
Lot: 071
RE: ARCHITECTURAL APPLICATION Dated: March 2003
Loft Remodeling
Dear Homeowner:
In response to your Application for Architectural Change/Addition as referenced above, please be
Oadvised that your application was reviewed by the Board of Directors and your request has been:
[X] Approved as submitted — You may remodel your interior loft since is does not
include any structural changes.
[ ] Conditionally approved
[ ] Denied.
[ ] Denied, Pending
Should you have further questions regarding this matter, please feel free to contact our office at
(408) 369-5190.
Sincerely,
Mark Bonvechio X305
Association Manager
As Directed by the Board
• CC: Unit File
PLANNING PERMIT APPLICATION FORM
Community Development Department (408) 777-3308
10300 Torre Avenue Fax (408) 777-3333
Cupertino, CA 95014 planning@cupertino.org
littp://www.cupertino.org/planning
Property Owner / e a k pvie
Address 76 6e It
y�l / Fax
/l /'e% 2�/ E-mail 1Y" `l`2/cG<'J, C
• Project Contact Person ,ou1`4 ij U�'- 8^f.�72�
Address Phone V V X3 O U
✓ T ,41 Fax _
,/ /� E-mail M/ CfJs Q`i0 a.0
• Project Address Tb (.�['/'C'"�'( � CG'9 /,C! /9��si1�t itC e d C/ (7/t/
APNZ 1;b-_ b -Q 1 Zoning General Plan Designation
_ _ _ _ _ _ _ _ Attach separate sheet for additional APNs If necessary.
Descr' t'on of Project, De cribe in detail our pm osed ' t.Attachseparp[�sIt if a
r
s t
Existing Proposed
Land Use
Parcel Size Net Gross Net Gress
Dwelling Units
• Density per Gross Acre
Building Square Footage
Lot Coverage(Percentage)
s Paving Area(Percentage)
Landscape Area(Percentage)
Floor Area Ratio(FAR)
Building Height
...... _... Parking
• Regular
Compact
Handicapped
Hours of Operation
Number of Employees
I certify that the furegoing statements am true and correct to the best of my knowledge.1 understand that a misrepresentation of any submitted data may
Invalidate an approval by the Design Review Committee.Planning Commission or City Council of this application.I understand that the application may be
withdrawn if]or my authodzrd representative is not pmsent at the scheduled mecting(s),or da written request for postponement has been presented to the
Planning Commission or affected review board.1 have discussed this application with the Public Works staff and l understand the public impmvement
• requirements associated with this proposal.
Applicant's Signature 17t� Date ���� 3
1 declare under penalty of perjury that I am the owner of said property or have Fbwer of Attorney(attach copy)from said property owner and that 1 consent
to the above-described application. (, h
Print Property Owner's Name 07 14A/� eJ 2�G�(/✓�L Date
Signature /21Jk-G Date "7
Staff use only:application accepted by air
onoeer,zoo
City of Cupertino CHECK-OFF SHEET
Use Tentative Variance/
Items Notes Zoning Permit Map Exception DRC
Application Form Must be signed by property owner or ,
provide proof of power of attorney.
Application Fee See notes. '
Mailing List $400.00 deposit.
Legal Description 2 copies.
Project Description
Written Statement Icopy
of Justification
Special Studies See planner.
Initial Study Seeplanner.
` Exhibits
Zoning Plat Map
Site PlanSee content requirements. '
Landscape Plan See Xeriscape Guidelines.
Vicinity Map See example. '
Elevations Indicate coloo'matedals. '
Cross Sections Seeplanner •
Perspective,Computer See planner and specification sheet.
Rendered Drawings
Not to exceed 112"thickness,8'h"x 11".
Material Board Include applicant's name,site addrrs,and date.
6 color boards am required for ASA.
Subdivision Plat See content requirements.
Grading Plan
Sign Elevation, See sample sheet. '
Criteria,and Site Plan
• -Required materials.Additional materials may be required as determined by the Director of Community Development.
'Existing tme locations,building setbacks and proposed grades,verified by a Civil Engineer(stamped on plan)unless waived by
Planning Department.
[Full
e Notes Planning DRC MinorMod
To scale with min.scale of 1/8"-Vor'1:20. 6 2 1
See Note 5 for additional requirements. 25 5 2PDF JPEG or TIFF files 1 1 1
1 1 1
trim1. All materials must be folded to 8112"x II".printed side visible.
2. All exhibits must be dated.Revision data must be included if applicable.
3. Exhibits may be combined when multiple applications are received.
4. See "Content Requirement"sheets for detailed submittal requirements.
Prehearing,additional plans will be required.The number of additional plans include 1 full sized(24"x 36'),40-II"x 17".ICD-ROM. .
G. The amomn of all deposits could increase or decrease depending on the project.
7. Geology Consultant-minimum$2,000 deposit.
S. Architectural Consultant-minimum 81.000 deposit.
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LOFT
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'The wall from drywall and windows total 96" will be built to close the loft.
•
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119 V.
V
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Pario
No external wall will be touched.
Only the internal side 139.5" of�the//loft will be closed with partition drywall 24"
by 139.5' and three windows e9 C&014)
42" by 66".
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Remodeling the loft in 20676 Celeste Cir.
The next new components for privacy and noise reduction will be installed
-The new Folding door 36"by 80" with the lock will be installed.
-The partition drywall..
W by 139.5" will be installed on the 2"by 4"wood frame
from the top of the loft opening.
-The partition three single hang tempered glass windows 42" by 66" will be
installed on the 2" by 4" wood frame from the bottom of the loft opening.
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n.�Y��,4�tib!`&�I�iYrd
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g�CEIVE�
MAY 16 2003
AL
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YkIPPROVED
` VW 'ACCORDANCE ITH TN IEN ds
a
ANCU
`(INED-
his set of plan and specifications r:SST
ie kept on the job at all times and its en
awful to make any changes or aftor
on same without wri li perm'sf'o kam
J`II the building Dept., Cii�Wt+r}
The stamping of this p4 . and spFxafigMwI SHALL NOT be held pandk a to to an
approval of the violation Of a:W prcgj�WJ
�I of any City OrdidAnco ar State taw.
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WINDOW
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❑9.5^
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11.5'
LOFT
JG'
Remodeling the loft in 20676 Celeste Cir.
The next new components for privacy and noise reduction will be installed
-The new Folding door 36"by 80"will be installed.
-The partition sliding Low-E glass with the grid windo 54WJ C rD
by the partition drywall will be installed on the 2"by 4' woQ�OOamejfrcLrthe
floor to the top of the loft opening. _
�D
d
1
® LOFT 22.5•
TOP VIEW
u '
9•
Balhmom
2
Eck CDR
I8.5'
Patio
No external wall will be touched.
Only the internal side *139.5" of the loft will be closed with partition drywall 30"
by 139.5" and three windows
42" by 66".
LAP 112003
aV _
]PLOT ]PLANS
Q�1ml�®did® CHECKED BY.
TN ACCORDANC . WITH THE CITY OR �AT1S �t f i
C11PMINO ^SES AN' ., .DINANCE,S
DATE
SIGNED_
_ TyltlIla)R����
?his set of ,ans and spccificaflnn; MUr,1
be kept on the job at all Uin : and It r, un
lawful to make any cir'n, "I dill rltl"nr
on same without r ntt:n n If'Irf
the building Nat, Cit; ,•i Gu,.:. n ,
The stomping of thlli p ao uW sp.chc;t,_ r
SHALL NOT bo Ilud to pe.mit or to h'
ipprovol of the violation of any prove , n
-I 1nv r,,;I ft dnann, or State law
1
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S 1 12003
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ROSS SECTION NEW WALL
Windows
_.
Wind,n
9
LOFT
13.,
12 51 � �
11.3•
The wall from drywall and windows total 96" will be built to c HAI
APR 112003
BY
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139.5'
APR 1 5 2003
By-
80" :I� i1'.Y y.
Ate, h€ lli
IIS
�j' LOFT
-; I
J6"
• Remodeling the loft in 20676 Celeste Cir. h �(�I �il�( ��Ij
The next new components for privacy and noise reducti 1nawill[be�installed,: JII lUl
-The new Folding door 36"by 80" with the lock will be installed.
-The partition drywall 24"by 139.5'will be installed on the 2"by 4"wood frame
from the top of the loft opening.
-The partition three single hang tempered glass windows 42"by 66"will be
installed on the 2"by 4"wood frame from the bottom of the loft opening.
•
1
DRYWALL
3 WINDOW
� � 4
� 1
By ,
139.5"
5'
-------------
80,. 9' ONE OOH?
11.5'
LOFT
, Rai
22.5' \
Gary Chao
Assistant Planner
(408)777-3247
CITY OF lQoa)777 zvnn
' CUPEkTINO garyc@cupertino.org 777-3333
c@cupertino.org
w .cupertino.org/planning
10300 Torre Avenue
Cupertino,California 95014-3255
. *aseJbe
APR 1 1 2001een'BY l
IJII �r ( es--not
� IFn)
U
ice at
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• CC: Unit File