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3003 (2) LOT No. NO. Y f STREET ' PPLICATION 'FOR BUILDING PERMIT a ° CITY OF CUPERTINO .o �• : Sanitary No. SU ©O. i 4 Date �A' g% , 196_ ermit No. F ° 1 , W Application is hereby ma a permitto t � a m a�ataey, �Ldl6�-C "�'o��/. wilding ? -to be occupied only as e! a 0 o in accordance with Plans, Specifications and Plot-Plan filed he ith F3:0 Estimated Value of Improvements;$ � Fee Il i J _Itis hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and j j Z all other laws applicable to the construction, locatioq, and use of buildings within the City of o Cupertino will be complied with. 3 i- WOwner�2, �1 li/, ff2 Address Z a01By Address Phon , •3` Xf5/ Approved State Licens BUILDING INSPECTOR A , fy -o 0 0 0 0 o c c C9 CL Z F W .N i •.. I Z_ RL < O c c c c o a o c Im - V�ie"F�i: . , 0 •. a a � V C7 -'Qa c m w a C7 W r o ° C4 `z z z z