51137 NO. STREET
W Z ,�kPPNGATION FOR BUILDING P RMIT
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1 OF CUPF.RTINO
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W LL LfDe a 196 � , 196_ rmit No.
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o a .pp /atCis�thereby made for 'Mit to
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to be occupied onlyith
00 plans, Specifications d Plot-Plan filed
herewith_ Pt Ck Fee
Estimated Value of Improvements,$J�0 Fez;
zJ 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
d O Cupertino will be complied with.
3 < M P tr MRs 11 E92s Address t�/ < < /iia y
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State License IL°WG INSPECTOR /