51322.1 (2)CITY OF CUPERTINO
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I1ilTAPPLI'CAT,ION FOR BUILDING PERMIT
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Building Per. No.
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Date 19
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Sanitary Per. No.
Application is hereby a permit to
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a � story, Type L Ar (C
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to be occupied only as aEwAAge mwee
(M-%Sd)n accordance with
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Plans, Specifications and Plot -Plan filed herewith.
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Estimated Value of Improvements, S
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It is hereby agreed that the requirements of the
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Cupertino Building and Zoning Ordinances and all
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other laws applicable to the construction, location, and
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use of buildings within the City of Cupertino will be
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complied with. l
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PHONF STATE LICENSE
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