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11y�/V �V I�N(L f� Ii LOT NO.
NO O T
W ® L1 ON FOR BUILDING PERMIT
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o /AFFZ 2 ITY OF CUPERTINO
0 5 1966 Sanitarc No.
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F o(v�ID{ye Ul- �P[^�r�^' 196_ Permit No.�/Q V d O/�
o w 1 11 Applicaho Ss4+�iebf oe for a permit to�j P !t�T� 0�1�' ���R But,
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a story Tyner Q Building
to be occupied only a in accordance with
00 Plans, Specifications and it-
cations filed herewith. PI Ck Fee
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3 Estimated Value of Improvements, $ �) d Fee$ �3•
i J 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 Cupertino I be/omp ied with. //��
3 Owner R ` .�f' ,C0 Address of /Z,6 0 /L
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W a ByC Address
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<0 Phone Approve
A State LicenseBU LDING WS PFCIOR
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