51001.2 (2) 10518 Chace Drive Lor No. 21
NO. STREET 3
W :APC�ATION FOR BUILDING PERMIT
o ! ��
r W 9 CITY OF CUPF.RTINO fs Gee �F
XL� Sanitary No.
sU (APR a i' 1968
i o Date March 28' 196 8 Permit No. -5—.16 d t.VX_
o Application is hereby madnfgqr a rermit to Erect
< �� I1 liT liisPC.Y\151111J
i t`n a 1 story,Type Building
< W
to be occupied only as Single Family Dwelling in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
, ; Estimated Value of improvements, S 26,000-00 Fee; 80.50
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* Z all other laws applicable to the construction, location, and use of buildings within the City of
� O Cupertino will be complied with. 23ft3 PRUNERIDGE AE. S .C.
3 Owner OAK KNOLL COMPANY Address '"
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WZ
W By Address
of
<U Phone @$L 241-8161 A roved WILLIAPR D. 132,N NICk1
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State License 197558 BUILDING INSPECTOR /