51200/i
NO. TREE i
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-LiG�AT,IO FOR BUILDING PERMIT
r a CI'1'1'� ;OF CUPERTINO
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(MAY 9 1968 •1 ] sanitary No.
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Application Is h,'req
a Z story,A
196_ it No. /
!ipermit to
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to be occupied only as
Plans, Specifications lot -Plan filed
Estimated Value of improvements,
® Building
In armor® cwith
erewith P1 Ck Fee ((�� •
Fee $1A?. to r)
It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, location, and use of buildings within the City of
Cupertino will be complied with.
Owner /» rLc�i t �1 Ty Lam^ Address
7
By,iG��GG Ci ���s�lf Ad
Phone �? J 7 —�S t`Uc� Approved /
State License BUILDING INSPECTOR