51001.4 22175 I Via Camino Court LOT NO. 109
NO. STREET
W ¢ APPLrIICCIZT-t0 tF�OR BUILDING PERMIT
x ° cl �D, CUPERTINO
I
i I i Sanitary No. -S
5u 5 IJUf� ll 1968 $ S-�oo�
_
Date I96Permit No. S�
' o
' w01- Application is hereb��rr a fpn r a pet Tit to erect
oneC4TV nr 'al�i��n �5 IJ J
z In a story,Type Building
r to be occupied only as single fam; l ydew l l;ng in accordance with
20 plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee
3 Estimated Value of Improvements,$ 30,000.00 Fee$ 90.50
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
d O Cupertino will be complied with.
3
0 Owner OAK KNOLL COMPANY Address 2383 PRUNERIDGE S.C.
WZ
W W By Address
4 ° Phone 241-8161
_U Approved.-All, t r n R, M -
State License 197558 BUILDING INSPECTOR
1....
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