466 No. sraeer
APR 2 4 )WOLICATION FOR BUILDING PERMIT
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Y ° P A CITY OF CUPERTINO
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p0 < I) Sanitary No.
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w U Date / 1969 Permit No. �14(�
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o W Application is hereby made for a permit to O7 [//LO '44 '-k e r
a to a story,Type ��g�T/Oi✓A4 LS�Gr✓ Building
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ato be occupied only as in accordance with
0 o plans, Specifications and Plot-Plan filed herewith. P1 Ck Fee
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Estimated Value of Improvements, 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
J_ O Cupertino will be complied with.
3N Owner /✓�S/4 c<!cS Address_�S4 c l f low /
a By -� Address 3,-66 N. �Y ' c5r- 5-,/
i o� Phone �' /S —. � Approved s,f
State License BUILDING INSPECTQp