51039 00 /7/(. 29`t
t.or No.
NO. STREET
w APPLICATION FOR BUILDING PERMIT
t �
r CITY OF CUPERTINO
0 - Sanitary No.
O �
i 4
Date 196 r Per No.
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01 Application is hereby, r a permit
i in a sto yp Building
a u
to be occupied only a dance with
20 Plans, Specifications and _ )t-Plan fi d herewith.a� PI Ck Fee
3: Estimated Value of Improvements,$ ?d Fees AA rhe
OJ 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
o �po ' I be complied with.Ow r
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