4 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CC�UPERTINO
Date I95! Permit No.F
o0
APR 9 1959 Pee $,M,
Application is hereby madeto the City of Cupertino for a permit to move the building
described on the reverse side hereof�f,i{om and to the specified location at the time and date
indiceff t'� aUdal [R,firta0 No. 22�of the City of Cupertino.
By
[CN'IMInCTUh, �8N' ❑IlLL INC INSP➢C]'Ult
7�
i
Building contstructed oNo. of Rooms
MATERIALS Width 1
J i7 Height 7
Condition of exterior
Condition of interior
Present location
�No. Stmet l.otV Block Tract City
Proposed location w.
No. Street Lot Block Tract /, rty
Site location on new lot ' l�
Route on which building is to be n,�mled
V
Tax certificate filed /Ownership certificate filed Fee Deposited_;�O—E�m
Other information