51181 (2)yn) i si i
LOT NO. `�,/
NO. SAEET
W T
5kPPLCATIIOIN FOR BUILDING PERMIT
CITOF CUPERTINO
o A 1 98 U t Sanitary No.
s,V
Da1962' Permit No. &7
0
w A lication is Ker'eb made'Ifo? a ermit to ��P4
a Ali//i story, Type 1rx__z Building
to be occupied only as %�/I� in accordance with
00 plans, Specifications and Plot-Plan filed herewith. PI Ck Fee
Estimated Value of Improvements, Fez $��✓(�
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
* zall other laws applicable to the construction, location, and use of buildings within the City of
o Cupertino will be complied with.
3 m Owner,/ Address DIT7_CPAW
a By CC�//�j�1s�1//11J; Address 2295 DE LA CRUZ BLVD.
< o SAlQ1A LAKA, lALli•. JJV7"
_ Phone Approved
(L State License ���9� BUILDING INSPECTOR