51177.1 (2) NOSTREET :�. .. tC
y/.D•f//yt/ I'C�'�C�''.''�/7`''.r'A
z ¢ rl APOLICATION' FOIR BUILDING' PERMIT (�
CITYI'OP CUPfRTINO
Sanitaty No.
' �a +�
W
Date -- 196 .`FermitNo.
o w Application Is ht Uy�mit e mliyto
story%�'Fy' eh? Building,.
to IbC cc- pled only ain accordance wrtk"
00 Plans,.Speafications and Plot Ylah Icd hgey, � ty. .p.i Ck Fee?}'` I
>. .
Estimated Value of Improvements,_S�`r-z�'G U ,a Feeco
z,J It is hereby agreed that the'reguirehients of the Cupertino Huildinp•and Zoning,�rdmances aric % i
all other laws applicable to the construction, location, and usiY'of huildings within the City f of
7,xd o Cupertino be cono'hed With. s .. t,tn•
4a < , � .
_ N Owner Address ZZe
• ..� a By '�-r-/ �,.,r . �r _ Address :t
< o .' Zs7 2G5.3 •
Phone Approved
uY •�; ,/ 1 .Jt�/ ti.','�•.flt 'fit" fi h•P,�+'f51Y'�Cv BUILDING IN51 FCIO 1i4
`�, ,SteteMLtcegse _ } _ y 44 • ax
� � ._ i r z 1 r,: i "ykur�,;+S6i•CN;s��i ` s��
NOTICE OF AI � iW It�l�'AL CHARGE
tj
LVG WSPii )It�`)f)P IN yr)i'.
L V� '
To ...........c`...�-.../., ........��•.UCt/ ......
. ...
..C.�DC
llY
Address ...�.d ,,..• .,:
,
1
r
Reason (......... rr ��- ^s•, ^ " ' - . .
.............`.... ...............:.......-til.....�........:...�-. ....•.�1..�..�_-}l
3,
t' - 1; --
y.
. _....�J�C_..._..
Amount S c.: �r• :. t " \` ,.it:'.- .�
.._..._�... Signed .....'.:.....:�C.:-.tu-•.�.,fs_._a .... _