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APPLIC N FOR BUILDIN PERMIT
p oT,,tAPR 2 0 1965 WWW ITY OF CUPF.RTI
o a tanv \ I.
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i LL CIl�e 196 Permit
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I, Application is hereby made for a per
oQ �
i in a story,TypeM Building
to be occupied only as Z M A ;O , �rtdance with
0 o plans, Specifications and Plot-Plan filed herewit pt
Ck Fee
Estimated Value of Improvements, $
iJ It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
d o Cupertino will be c _"with. GG'OCK77ru
N
Owner �� � Address
„f $y -i Address z e At 0
rr Approved
' I LicenseY� BURRING INSPEC ' Cj
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