106-Exhibit E.pdfCODE ENFORCEMENT OFFICE
CITY HALL
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
TELEPHONE: (408) 777-3182 • FAX: (408) 777-3174
code@cupertino.org
Translation Service Requests
Massage Therapist/Massage Establishment Applicants
Applicants for Massage Therapist, Massage Establishment and Managing
Employee permits will be required to complete a written application in
English. Code Enforcement staff will also give detailed verbal information
to applicants. If a translator is needed to assist you in filling out the written
application or understanding the information provided by Staff, please
request a translator. If a translator is needed, Staff will attempt to provide
one during the application process or will reschedule your appointment
when a translator is available. You, as the applicant, may also bring your
own translator. The City of Cupertino assumes no liability for translation
services provided by the City or Applicant.
Check appropriate box and initial
id I do not need a translator at this time.
❑ I require a translator to complete the application process.
Language required
❑ I request that the City provide a translator.
❑ I will supply my own translator.
d"y
Applicant Signature Date