290 arl
5�'IO x/ I LOT NO.
N < NO. Q 5 1EETI
p ?tDEC
kPPLICATIQP FOR BUILDING PERMIT
�JTY OF CUPERTINO
0 .] 17 1965 U Sanitarc No.
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W 4 Uate��TT ((��[[ (r� IIpp DDTTInp '(A�1196_ Per it No.
'o CVPYIic>, E i3-hJ41r:h1� NIQ ermyt to
<V) a� story,Ty 8
w
to be occupied only as /;no accorda with
0 o Plans, Specifications and Plot-Plan filed with.Sp Pl Ck
3� ; Estimated Value of Improvements, $ Fee S7
i 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
o Cupertino w' be compl 4-
3r
_ Ob
m Owner
a a By l-V 1� A L� - rte—.(h� dre ..
at—
<U Phon ` ` Approved
d� 77
State License
BUILTING INSPECTOR /
V/