174 I�A�PPLICAT,ION F�OR� HOUSE MOVINGRMIT
CITY,OF CUPERTINO
_6MAY 121965
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Date �,���� nr tnrnTl^I1 `S Permit No.
fill 1 UI Vul Vntl-V o0
Fee$
Application is hereby made to the City of Cupertino for a permit to move the building.
described on the reverse side hereof from apd to the specified location at the time and date
indicated in accordance with Ordnance No. of the City of Cupertino.
Owner l iLt-2h>�� .�C�rc.d--sLi
J
V
y By Approved
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N NTRACTOR, AGENT 14/1Q9(�- BUILDING INSPECTOR
Phone --�Z/. .7/-XQ----__-------
Building contstructed of SVlpe ro No. of Rooms s
MATERIALS Width L,,(�
Height
Condition of exterior e;6
Condition of interior ��
Present location-1 Si
No. treet Lot Block Tract City
Proposed location-3,0L—�II 1WA61
No. Street Lot Block Tract City
Site location on new lot
Route on which b��uiilding is to be/move A
Tax ce ificate filed Ownership certificate filed Fee Deposited
Other information