51028 ZrNo. S e Lot No.
® �_ LI N FOR BUILDING PERMIT
�(/JUN 2,j
968 • City of Cupertino Sanitary No.
.G Date V CJ.r/ 1 , 196 __ Permit No.,rl 4%J.r
E ,E App�i�i' n igrebC"Fi I t to �'I P,D
Y 4I 1 �1r Uk)f tt�
ji a story,Type Building
0
to be occupied only asGnM1 Q M in accordance with
y Plans,Specifications and Plot-Plan filed herewith- PI Ck Fee
to A .
iO s Estimated Value of Improvements,$ ASO O Fee$
o o 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
0 Cupertino will be complied with.
.3 4 Owner �j�, ,Q. �i AddressZ.D68' f/ 4L L7�
AddressBy
d a
o Phone ES _. f L1- �� Approved A
— U �Z !' uil n ec o�
State License