51038 FfNOV
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4A2A P B�'t `� "AP`LSfCATpFON FOR BUILDING PERMIT
° 5 1965 rli; OF CUPERTINO
LL
o ' Sanitary 'so. '
a
z LLIhtEq I r 'eln 196 1 Permi No. I UJ
o lI l 1 t ma
LL F Application is hereby a or a permit to
oa
zN a story,Type Building
to be occupied only as in accordance with
0 o plans, Specifications and Plot-Plan filfcl herewith. PI CILFee
F "; Estimated Value of Improvements, $9 Tom. Fee$ �•
z J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
J z all other laws applicablq,)to the construction, location, and use of buildings within the City of
o Cupertino w'11 be m j ed with.
3 Owne Address O O�
w z
a By / ,Addres
a o Pone 7i>7—L 9.3 _
_ U Approved /
1 State Licensr Z/2i BUILDING INSPECTOR /`(
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