301 t.or No.
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W ¢ APPLICATIQN FOR BUILDING PERMIT
r ° IV OF CUPERTINO
JAN 25 1966 sanitary No.
5 -301
iLL
Date —nnCC196�y Fer�mitNo.7�—
�. � licii�i5n istHeh'b 8c' c a ermit to ��'—`'��
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z N a—C story,Type f/ r �� Building
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to be occupied only as ^� in accordance with
0 o Plans, Specifications and Plot-Plan filed herewith. PI it Fee
� Estimated Value of Improvements, $�-�/`).�� Feet5-
zJ 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 complied"'i f
3 N Owner h Address�X!/6� /Gi/t!/d[ �f✓
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W By Address
Phone A �
<U _ Approved Lf/��1 c� f✓:
State License - BUILDING INSPECTOR /
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