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*PPLICAOj'f,OR HOUSE MOVING PERMIT
Cr CUPPRTINO
AUG 2 4 1961
t i Date y 19A." Permit No.
F. CUPERTINO Feesca 0 °a
M 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
i: indicated in accordance with Ordnance No. _of the City of Cupertino.
Owner T I �J A 11 E tZ
By x Y/ /xi GGcit `Approve v
" CONTRACTOR, AGENT BUILDING INSPECTOR
honex--- ,-L------ �.Z-----
Building contstructed of�2 P �V1F - SV CC C) No. of Roomsr
MATERIALS Width
Condition of exterior l_� el CC/ Height
Condition of interior
Present location d5`/-�- CPN 3 !� nl •-pt F?S
No. �h Street {(��ot Block Tract City
Proposed locationcAo<O7 t A) P leT( NO
No. Street - Lot Block Tract City
Site location on new rotCON 2 —
fAe `S t GA C ,
R on which building is to be moved — Q.e 1;9
CQ l r I Q
Tax certificate filed Owne certificate filed Pee.Deposited
Other information