51145 I'a-c.cJ �' LOT NO.
l NO. STREET
w i TION FOR BUILDING PERMIT
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® OP CUPF.RTINO d 3
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0 ' Samtarp No.
50
w LL Da t MARA&Wg 196ek, Permit No. S —
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LL w A lication is hereby made for a permit to
N a CI OF stc�1�AR Building
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a o be occupied only as S//Y��f y1N'/6y �ilIGGI//l�y�_in accordance with
00 Plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, S. Fee$?7 at
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other laws applicable to the construction, location, and use of buildings within the City of
oCupertino will be complied with.
y Owner !/WO f� OWnp!71� Address
c a By / ��« Address
<0 Phone ApproeedWILL1AM D. BENEVICH
State Licens BUILDING INSPECTOR /
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