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0 � _ LOT NO.
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OZ IBUILDIN
G PERMIT
° MAR 5 E9UERTINO
Sanitary No. S5�] F
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w Date 3 - 1 f 6� Permit No.-SI O q %
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Application ris hereby mhe or3�xm' Q GREG�
a /y.
i in a�,' �� story,Type — Building
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to be occupied only as t,r'�'D IP K in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
"; Estimated Value of Improvements, $3Sj 00yM , Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
j , all other laws applicable to the construction, location, and use of buildings within the City of
O Cupertino will be complied with.
` Owner&"eg o fl leWIJL AddrZ
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` �P one96 4 7V 7 Approv at
State License Z7-/ /S B LDING INSPECTOR /