465 LOT NO.
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z z APPLICATION, OR BUILDING PERMIT
o !ej 19 1068 CITY OF CUPERTINO
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W W DarrA . . _ _ '___._196tg Permit No. 'j�W•�
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'o ApPplication is hereby made for a permit to �/F'�° CC/ Pd 511
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z in a�v cAmS story,Type Building
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to be occupied only as *—/900 hf,4,elrz&_-r in accordance with
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Plans, Specifications and Plot-Plan filed herewith. PI CIL Fee v
Estimated Value of Improvements,S 6)r Fee$
iJ 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
o Cupertino will be complied wit).
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Owner SOL E!X f y / 5{oRE AddressIIWM�0 SII SS
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a By v/. & QJQ.1 � L�i�. Address l9O &IR& 4t�P SF
<V Phonr ��y' 7Ta Approved I-LIAC.9 D. G N_✓IC[fi
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State Licenses BUILDING INSPECTOR
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