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1� �, APPLICATIN R. BUILDING PERMIT l
(
UPERTINO 009✓
'• `' �`� � CITY OR'C „ /
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Date ` T 95_ Permit No �
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Application is heuby.madeJfor a permit t '
Pa iii 'A'".' n,story,� yamT `"
.7•" ..La ~� ,' -- -Building
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fo be occupied only,asM C
zool
i¢•accordance:with-Plans`Spec cations and Plot-Plan filed herewith.
Estimated Val Iin rovements,$_/44000 Fee$ TU
:• It is herebygag PL12ShaF•the requirements of the Cupertino Building and Zoning Ordinances and
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-Cupertino.a "�afppmc.;6fe-•to•the construction, location,-and use of buildings within the City of
;j Cupertino: Ill ,Can phid tarth. '
n OwnerAddress
//�'� Address
CONS ACTOR, AGENT
Approve
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CERTIFICATE OF COMPLETION---�-
BUILDING INSPECTOR'S OFFICE
CITY OF CUPERTINO
Date .......fir
........................... 19.40---- tAuilding elmit
........ .®.....
The Building Located at .r ---,.... ................ ... ......
rte. ..........
Owned by --- ....................
(CqTpleled'
Has Been' Altered) Use AS: .......�rr
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102 7/59-5nO ",BTALDING INSPECTOR