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LOT NO.!;F7�
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`APPUCATIO FOR B 1 ING PERMIT
CITY OF CUPER O
Date -1: 195—Application
.jV n Permit No. � '7
A lpermit to G(PPication is hereby made fora
a � Building
at
to be occupied only as
in accordance with Plans, 4cifications and Plot-Plan filed herewith.
u Estimated Value of Improvements,$ /
2L Fee$ �2��–
u It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
aI l other laws applicable to the construction„location, and use of buildings within the City of
o Cupe will be implied
nn Owner Address .�
By = e Address
Phone i "` R, 1�T n Approved. �/�Z
9ULLDING INSPECTOR ��
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