95146 1451 Saratoga-Sunnyvale Road
APPLICATION FOR
CERTIFICATE OF OCCUPANCY
Use classification�ST�!'.eWAlT Bldg• Permit No.
Group�_Type of construction se Zone C-3
Owner
Address P/)
Building Address
Portion of building
FPB Approval necessary By:
/-- /zes =No Date: 7z
Disposition of certificate:
Date routed to FPB 9e�/�G
Date mailed to owner By:
Form 280-668