51009 IAT NO. 97
NO, TaE'
w Q A I FOR BUILDING PERMIT
r o ® OF CUPF.RTINO
2 LL 11
0 J , AUG 18 1965 Sanitary No.
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= LL Date . 196_ Permit No.
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o a �y}y��ati4Fis h� l� r it
i ro a story, p / Buil g
a w frf�f�/7fI a
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to be occupied only a a
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0 o Plans, Specifications and Plot-Plan filed herewith.OD Pl Ck Fee 1 Z. �
3 Estimated Value of Improvements, S�QQ Fee S a�LO
z J 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
2 o Cupertino will be complied with.
< Own Address b
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w ZAddress
BY
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S— 3 Approve
Phone
tate License -I .Buu. GiNSFE.CI'OR V