51039 LOT NO.
ST
ZZ FOR BUILDING PERMIT
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OF CUPF.RTINO
S
G , FEB 17 1966 inN .
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w ,� Uate
Z 196_
mit No.
� CITYA[n isCIRPQ too N a�sto
Building
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to be occupied only in accordance with
ii o Plans, Specifications and lot-Plan filed herewith. P1 Ck Fee OO
> "; Estimated Value of Improvements,$ ACO Fee$ S ^
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 be comlied with.
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Owne '/�y¢ Address
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�cc�P •t` Add
07
a Phone Approve
State License W✓' BUILDING INS*rloR
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