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NO. STAE LOT NO. �r 't
W PPL`IG ON SCR �9UILDING PERMIT
I ° ® OF CUPERTINO S�
0 ' Sanitary No.
W 0 at I r nr.� ' 14 1963 " 196_ Permit No.
`o Application is hereby el(pr a permit to
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a w Building
to be occupied only as
ii `o in accordance with Plans, Sp ca tons and Plot-Plan filed herewith. So
F ; Estimated Value of Improvements,$ d Q Fee
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
i all other la apcompilee to tructioq cation, and use o buildin within the City of
O Cu er compli
3 Own ` Address
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n By ""-�' Address '
01 Phon� —/L�'/ _ _ t
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