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APPLICATIO OR BUILDING PERMIT
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JAPR 6 1 4.LCI FGPERTINO CZ 7�
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Date TTyy ((��[[ [[ppTT 9� Permit No. / (—,6
A�p�'dationli411)er aHd l mit to @d1A"P—
a O! story,Type S / f Building
s IA at L RSOr,a..t�
to be occupied only as oW 4-
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in accordance with Plans, Speciffrations and Plot-Plan filed herewith.
Estimated Value of Improvements,$ Fee$ D D
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It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Y Owner CUPERTIyO PROPERTIES LTD. Address_ �acrr�TES 6R._
y Address LIfORNIA
C' 11, AGENT
Phone 1. - O Approved
BUILDING INSPEC
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