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`APPLICATION FOR BUILDING PERMIT
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oCITY OF CUPERTINO
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W Date 196E Permit No. S-11 SO
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'o W Applic'afion it e�eby'madelfor a permit to t e c IY
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a N a story, Type Building
a; to be occupied only asSed ee ' in accordance with
00 Plans, Specifications and Plot -Plan filed herewith. Pl Ck Fee
Estimated Value of Improvements, S Fees 3"
iJ 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
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State License BUILDING INSPECTOR
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