51132 S
�e✓�` I NO Y CNS 7 441�. q4-L'
LOT N0.
NO. STREET
w APPLICATION FOR BUILDING PERMIT
tM
0 CITY OF CUPERTINO
0 LL
o Samtary No.
Sa t
i LL Date 196_ F rmit No.
0
LL LL Application is hereby made For a permit to
i U) a story,Type �� o 'Y 5Z / Building
to be occupied only as �' l+ accordance with
00 Plans, Specifications and Plot-Plan filed herewith. Pl C Fee
> N
Estimated Value of Improvements, $ Fee$
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
� 0 Cupertino will�b1e complied with.
3 0 Owner /� /��✓✓ � --5��+-'� Address
N _
Z
By A Z?Or/)4rA ✓ /1 jIf- Address e
O 0 k 5-3-6 u (-�
� V CPhonr VAPPros
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