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1094 a� 83 TA LOTNO.
APPLI�Cp FOR B L ING PERMIT
FEB 2 19Ut OF LUPE TING
Date ((��cc ((�� pp �R��((�� 195_ Permit No.
MI .pTlicQ n is�IiUP�Ra�f'JOa permit to�E C f
a4 a story,Type eE T d • Building
at 91 —�O u liA W FA
to be occupied only as—
in
s in accordance with Plans, Specifications and Plot-Plan filed herewith,
Estimated Value of Improvements,$1L L ©O O _ Fee$ �+ '
a
b a
It is herereed that the-
, y g requirements of the Cupertino Building and Zoning Ordinances and .}
all other—law will applicable—to wi the c�'oq locatioq and use of buildings within the City of
Cupertino will complied with.
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a Owner - Address)�"
+� !By ' f Address �V , �M
cONT0.ACCT A, AGENT
APProv ;
BUILDING INSPECT
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