51132 (3) 1[ \ 1 / 0 Jr 3 d ,O-t.Lot.6I.OT NO.
NO. STREET
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= ATION FOR BUILDING PERMIT
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Y o ��q TY OF CUPERTINO
o a d/ Sanitary so.
Ua '� 1966 nermit No. rz
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o Application is hereby made for a permit'16
Building
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to be occupied only as in accordance with
00 plans, Specifications and Plot-Plan filed herewl PI Ck Fee � Ar
> 3 Estimated Value of Improvements, 'it�rC�� Fee$/J..
o a
z J 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
j O Cupertino will be compli d with.
3 m Owner Address 0 O ov�tcl -
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a gy r oda
Add res
u Phone y +�-7 S-3-1r, APProved r
J / State Licens v a/7 ILDING INSPECTOR
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