51037 II o G ioe LOT NO, 7Q 7
NO. STREET
W = APPLICATION FOR BUILDING PERMIT
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° CITY OF CUPERTINO
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O � Sanitn R' NO.
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= n Date 196_ Permit No.
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LL Application is hereby made for a ermiitt to-
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< i / I 14P
i N a story,Type Building
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to be occupied only asn accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee y �
3 Estimated Value of Improvements, S �a 2-20 za Fee S26�L'Rd.G
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Z 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
d O Cupertino will be co lied with. I D f
n /J NAiI Address (Jb(��- �,4 I ZONA 6/1.Cur
a Byx FI A tY a V A , I - ),J)IA S r Address Aa:j
5: — CGs0< o PhoneApprovetU )
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State License BUILDING INSPECTOR
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