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w �APPWCATION+ FOR BUILDING PERMIT
o> ° C OF CUPF.RTINO
< ?(APR 5 1968 Sanitary No.
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_ Date 196_ Permit No.
o ; Application Is h r ma a r a permit to
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a_ story,T pe .7�.T Building
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to be occupied only a in accordance with
_'o o plans, Specifications and Plot- n filed her with.• 00 P1 Ck Fee
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Estimated Value of Improvements, $�. Fee Z
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J i all other laws applicable to the construction, location, and use of buildings within the City of
j o Cupertino will4e mpl' with.
; ate
Own Address
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an By Address IA27 tr.�4A AO
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State Licens UILDIN° INSY OR /
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