51145 (4)4a/
—U
LOT N0. 21L
NO. -'TRENT
® A'PPL11,ICATION FOR BUILDING PERMIT
CITY OF CUPF.RTINO s U
(DEC 21 1965 Sanitary No.
Dat5 e <t�Ce � ®, 196Permit No.
CIIteApplkitltior(i}heJpllad'eQor a permit to
a story, Type ,-%z'�r / 30 3 P�;� Building
to be occupied only as tidlGF Xo9 ,i4/ AR zei 7Y4 in accordance with
Plans, Specifications and Plot -Plan filed herewith. P1 Ck Fee
Estimated Value of Improvements, $ a/ 000 Fee E 66
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 �u��/�
By 2—
Phone � 5j
State License %`W '2 I