985 (2) LOT NO.
NO. (STREET•i'. ,i; ,Y' d_� - .•
gAHPLICATI N FOR BUILDING PERMIT
On11 �Y"�..� - OF CUPERTINO
.; ,R. .- t G �1
Date V ` .`t95_ Permit No.
Application is hereby. ade'�f/Qr a pe/rmiit to
( a ,, �Q,,sFOry,T /
,ypetiti --.. b'x y z Me A l ��•�',,;� p
l at C>C540�
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to be occupied only as . . "-7, C3 erg j Q Q
in accordance with Plans, Specifications and Plot-Plan filed herewith. 0
Estimated Value of Improvements, $SFee$ \ •
It is hereby'agreed that the requirements of the Cupertino Building and Zoning Ordinances and
.- all other laws applicable to the construction, location, and use buildings within the City of
r ..d Cupertino will be complied with. / � 20
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fo,-A -'j_. r CONTRACTOR, T
Pho`e' '4 l�Ceo r Appro
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