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NO. REST
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` APPLIIC0 ON FOR BUILDING PERMIT
o ,�.� ��
OF CUPERTINO
°< (DEC 27 1965 sanitary No.
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= 4 Uate 198_ Permit RNo. GrS
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oCAp cat"p iftil"ERfINPermit to Ct
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z Na story, Type /0 / a , Building
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= to be occupied only as — 0" a `' in accordance with
2 o Plans, Specifications and Plot -Plan filed berewlth. Pl Ck Fee
"; Estimated Value of Improvements, 5 U Fee
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z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
z all other laws applicahle to the construction, location, and use of buildings within the City of
d o Cupertino will be complied h.
3 < Owner x �� g. _ .Yif� sf Addres
Q a By XaGL� f Address
< 0Phon X .25-- " 1rfj Approve
rl State Licen NG INSPECTOR
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