51070 (2) LOT NO.
NO. STREET
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F FOR U.ITLDIN
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IT
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o < Samtary No.
C ,AN 22 1968Date rmit No.
W W A lication is hereb made fora emit to
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Z N a �STOfy, y Building
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to,be occupied only a in accordance with
o o Plans, Specifications and Plot-Plan filed herewith. �PI Ck Fee VAC
> "; Estimated Value of Improvements, —. Fee$ /40 d �Td
iJ 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 plied with.
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Phone 3— APpr
State License �.3 g'Pjq l' Nc INS...CI'OR
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