78 APPLICATION FOR HOUSE MOVING PERMIT
® OF CUPERTINO
APR 181853 P
Date ' 195— Permit No.
0 0
CITY, OF, CUKRTINO
j41; 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.
Own
Byv "� /. ` Approve
q O,N�T/R�ACTOR, AGENT BUILDING INSPECTOR
�'� Phone ..._ !..:
Building contstructed of D� a4�CL�G� No. of Rooms_
MATERIALS Width
Height
Condition of exterior Q
Condition of interior o---d--•'�—
Present location ,*?.?O
No. Street Lotti Block Tract City
Proposed locationd�� 2 c �
No. Street Lot Block TractCity
Site location on new lot
Route on which bu' ding is to be move
Tax certificate filed Ownership certificate filed 'Pee Deposited
Other information