61 APPLICATION FOR HOUSE MOVING PERMIT
® I FCUPERTINO
'41Date Permit No.
CITY OF gUPE&RTIN�. Fee s
Application is here y ma a to the Ity of Cupertino for a permit to move the building
M described on the reverse side hereof from and to the specified location at the time and date
r: indicated in accordance with Ordnance No. of the City of Cupertino.
J
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Owner�\'��A2N�S
" r r
y x n
BAP Prove
CONTRACTOR, AGENT ❑ILDING INSPECTOR
x GC� 2
��Ifone x — — .............................
Building contstructed of 1"(?G=:M G �u c C O No. of Rooms
MATERIALS Width Sb
l'7 �—
Condition of exterior O � Height/,t
Condition of interior 0 0<1 T
Present location 3 S a7 OMS
No. Street of Block " Tractity
Proposed locations;2OoZ� !�—
No. Street Lot Block Tract City
Site location on new to ' Z Co #0 a M / C t 't t
lid s
Route on which building is to be moved�w>'�'a NQ Q ^C L{ Press
C zz 1•C k 1 t C1 e
oG
Tax.certificate filed Ownership certificate filed Fee Deposited"�0\
Other information