51087 (3) 1�0y
/10767 a D-r. LOT NO. A
E Plan 202
W 4A PLIC I FOR BUILDING PERMIT
° (AUG 13 1965 OF CUPF.RTINO jr-, r�
¢ - 44:5i4
o < Sanitary No.
5u _ Si o87
i o U:tte , hs96_ Permit No.
-11 T Ur Lourc
o pphcation is hereby made for a permit to Erect
'z N a 1_ story,Type 5 I J Building
< W
W to be occupied only as SFDWL in accordance with
ii o Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
"; Esti d Value of Improvements,3 23,000- 00 Fee$ 72. 00
i J It is he by agreed that the requirements of the Cupertino Building and Zoning Ordinances and
� Z all ther ws applicable to the construction, location, and use of buildings within the City of
d O Cup tin o ill be complied with.
3 <
_ W Own r Address P O R 91 1 CAMPBELL
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