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276 Sew ca e u E2 woaFP RD 121C1kuJ oo D LOT NO. N NO. S�IL W z P161CA�T�N FOR BUILDING PERMIT r ° I CCI ITY OF CUPF.RTINO o < (OCT 51Q65 �.°dl Sanitary No. s� Date 1965 Permit No. 4 7tIC FoCITYpl [on CUe orapermitto ItJS7Psl� TEMFOQA2 y 01 $�61J i In a story,Type IQ1 SQ. FT �/Q� Big r i �as SEE ATTRCAED PLN Kith 20 Plans, Specifications and Plot-Plan filed herewith. Pl Ck Fee > ; Estimated Value of Improvements, $ Fee$ 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 L) Cupertino will be complied with. 3N Owner 000 Ct%Qf— r,— COtERt'tt. 0 12EA(-rYddress IOOS4 SOUTH 1�41wfw 9 Qi ByU)ET UALLEV SI60 CO . Address I0MIRA VtStA D , i u Phonet my as3-��I I Approv IML LicensBU DING INSRECI'OR