51167.3 (2) to 96 6 .{��.`/QV(/ti.�C2• �(L�NLOT NO. /
NO. STREET— J
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APPLICATIONIII FOR BUILDING PERMIT
' 0 �FFB 20 196rCITY__OF CUPERTINO j(q� -{.SfJ
o a Sanitary tN" . & " !2 / Q�
5
W , Date 1/0 ".�196 Permit No. A
= O Mcnt t.n il'n
o Application is hereby made for a permit to �C"-/
a
a IV story,Type Vp+/ `� Building
ato be occupied only as �-��1I in accordance with
a `o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
t', ; Estimated Value of Improvements, $ Fee$
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
J o Cupertino will be complied with.
Owner Address .arr rPANE
- 0 —�rsrQ----
By Address X205 DE LA CRUZ BLVD-
g707o
aU Phone �.S"/-//i v Approve d�pNT LCIA., �LZF ....i
(� State License X`/ BUILDING INSPECTOR` /
Y