116 APPLICA��TJJION FOR HOUSE MOVING PERMIT
t+ OF-CUPERTIN
A CITYO
'JUL 22 1963 W
7 I b 3 Permit No. /�
Date 'I I Y 01 �4 PERTINn Fee $ 'CJ D
Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from and to the specified location at the time and date
indicated in accordance with Ordnance No. of the City of Cupertino.
I
y
Owner �iYlA ! er</-6-si
c
By Approved 2 � 'I
05 C TRACTOR, AGENT �a
BUILDING INSPECTOR-Vlphone --------------------------------------
Building contstructed of__ L(/ It/- lt; ,e—4 No. of Rooms J
MATERIALS Width —47
/ Height---/
Condition of exterior—�0�1
Condition of interior "
Present location '
No. Streets Lot Block Tract ty
Proposed locationA2,90/2 114/1 �✓/ c Q_
No. Street //Lot Block Tract
Site location on new lot
Route on which building-is to be moved
Tax certificate filed Ownershipcertificate filed Fee Deposited '
Other information