92 APPLICATION FOR HOUSE MOVING PERMIT
QITY[bF CUPERTINO
1 1962- �1
J ate= Permit No.
q; �me
CITY OF CUPERTINO Pee$_
Application is hereby made to the City of Cupertino for a permit to move the bw ding
lnl, described on the reverse side hereof from a,,,,\i,',,,the specified location at the time and date
`uu indicated in accordance with OQQ r nance No. zQf.,the City of Cupertino.
I Owner__ _
a ByX/G{, _--/�� —� Approved
V
CONTRACTOR, AGENTUILDING INSPECTOR
Phone----2--2---d.l--.moi .�
Building contstructed of No. of Rooms
MATERIALS Width
Condition of exterior
Condition of interior
Present locatiol�� _
No. het Lo Block tet ity
Proposed location
No. Street
�� Lot loc Tract ity
Site location on new lot V�/a-
Route on which building is to be moved n_
Tax certificate filed Ownership certificate filed Fee Deposited
Ot r nform tt C`t z