51187 (2)6
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LOT NO.
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W APPLICATIONI FOR BUILDING PERMIT
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�° CITY1017 CUPERTINO
i (I MAR 29 1 �8 U_ Sanitan• No.
i Uate196 Permit No. � 7
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0 Application is hereby{made for a,perm(�it to Q�
i m a— story, Type r h` -,/i– Building
to be occupied only as 0,I_a-- ��%n `�-`-. in accordance with
0 0 Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
,'-> "; Estimated Value of Improvements, $ 7 - Oo . Fee $ ' by
zj It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicable to the construction, location, and use of buildings within the City of
2 O Cupertino will be complied with. A /l _
_ y Owner �P Addres 5e 111
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i By Address
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Ph ���—��Z� APP roved WILLIAM D. BENEVICH
!� State License /, 5-17
J /' BUILDING INSPECTOR
1 /