51084((I—
/04,578 I $ouyY D-enve, a peyl LOT
NO. STREET
/4�P 110 FOR BUILDING PERMIT
® C OP CUPERTINO
Sanitary No.
Date X31 1966 , ,-96h Permit No.
Application
is[her,e[T�h'�mammit to CREGT A 5-0 AATEAIA/A
a%O"
Building
to be occupied only as
in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, S 0
8� '-0 Fee S Z, 60.
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 of buildings within the City of
Cupertino will be complied with.
Owner ' V • G AR D
Phone 2sz - Osz
State License