58 may' APPLICATIOVORpH2OOUUSE MOVING PERMIT
GLTYaOF N RTINO
�' ,�MAY 2 6 196f � •
Date t95_ Permit No.
CITY OF CUPERTINO Feed
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.
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Owner Ax I; L 'y l e- 1 :5 o KJ
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v
B ww Approved
AC R, (A^'FTJT BUILDING INSPECTOR
9�4�hone✓d-� --- .Q.1.. -2-J....3✓.........
Building contstructed of D No. of Rooms
MATERIALS Width c7,VSt t
Height R'
Condition of exterior 1 Q!
Condition of interior AI
A� �I -(,> .
.3 ► n
Present location �oe� �I_IM e I 1 I 1
LN o. Street tLot Block Tract Cit}
Proposed location 7, 1 Z `�- ` �' F� Z 1a tZ Qm ,
No. Street Lot Block Tract City
Site location on new lot 6£m n i
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WQS�
Ro on which ing is to
be move t � � � t �y l l[ ^
�c/k
Tax certificate filed Ownership certificate filed pee Deposited '
Other information '