136 AP,PL'ICATION-FOR�HOUSE MOVING PERMIT
CITY
FF CUPERTINO
Date
V11 A V. IDGI2' 19Permit No.
.,_. _.. . -. Fee$� 0 0
Application is hereby made to the City of Cupertino for a permit to move the building
l^ described on the reverse side hereof from and to the specified location at the time and date
` 1 indicated in accordance with Ordnance No. of,the City of Cupertino.
Owner)'T' 6-16/
L
C
v By l<<_L Cts r�r/J Approved
���CONTRACf�OR AGBNT�-
BUILDING INSPECTOR
n. Phone 4 - 2
Building contstructed of No. of Rooms
MATERIALS Width �3/
Height
Condition of exterior ay-
Condition of interior / �e-"k
i
Present location���� i 45 /jzj -C 11 x.T�� i
No. Streets Lot Block Tract City v
Proposed location /�/ � �i> ST ��
' ' �/ 61C e."'))
No.
Street Lot Block Tract City
Site location on new lot
'
Route on which building is to be mov_ed's-r P—C!/��'--iCL
Tax certificate filed Ownership certificate filed Fee Deposited
Other information