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APPLICATION FOR BUILDING PERMIT
ZNCJT�II'1O11G CUPIRTINO
[I l' SaniratY No. -s3
/Y(0711
Uare (�E 7t96~�` Permit No.
Application is hereby made for a permit to
j DERTIN
a ± y s(ory Tyl �' 1 TT )) Building
to be occupied only as 1`1424 �G�11���i!��/ in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Afi
Estimated Value of Improvements, S �?Z. I)V�' _. Fee $ 27-; -
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 svitjr.
Address
Address�0 635
Approved
ING INSYF.CTOR
1/
State