51120 rRRAZw e DR. LOT NO. 'g�
NO. STREET
w APPLICATION FOR BUILDING PERMIT
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0 CITY OF CUPERTINO
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o Sanitary No.
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Date —, 196Se Permit No. 0
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a Application is hereby made for a permit to
i In a story,Type ��5 X �'2 / Building
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to be occupied only as �eR�A9/r t3jsltrawd POO in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
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F ; Estimated Value of Improvements, $ 7 - Fee a •-+—L-
i J 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
0 Cupertino will be complied with.
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_ m Owner 4 Jt�N D�C WPB, Address
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a By p Address
a0 Phone 1 / Approvedf�a
State Lice ns BUILDING INSPECTOR ,, /y/