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° CITY OF CUPERTINO
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_ Data ® 196_ Permit No. 010. 93/ 7
° NOV 1n �a577 �I J
'o < Application is her by lfiac f r rmit to
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0 o Plans, Specifications an of-Plan file Zltl .06 P k Fee
i ; Estimated Value of Improvements, $ Fee$
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* z all other laws applicable to a construction, locat and use of buildings within the City of
j o Cupertino ill complied w'
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State License BUILDING INSPECTOR