2782 (2) LOT N
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a �� APP CG FOR BUILDING PERMIT
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11' NOV OV 2 2 1963 aCt� OF CUPERTINO —
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4 Date ' - - ,rd96,K Permit No. r— 7
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CApplicau n is herebtytmtadelfor apermit to1 /
i In a story,Type .SLS /O�/�H Building
ato be occupied only as
0 o in accordance with Plans, Specifications and Plot-Plan filed herewith.
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F3 Estimated Value of Improvements, $ Fee$ 5 s
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
d O Cupertino will be complied with. - Q
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_ w Owner/��a/�C,�%iG0 Gv 2i s Address
d By—F/�/s C��!�� Address
Q U Phone 'Q Approved
hI State License r/- BUILDING INSPECTOR
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