182 9:00
APPLICATION +OR HOUSE MOVING PERMIT
CI�Fy�I, OF CUPERTINO
iFiAN 5 1965
Date 195_ Permit No. /az
�! CITY OF CUPERTINO Fee S' 60
Application is hereby made to the City of Cupertino for a permit to move the building
d 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.
M
�uOwner /7' ,Llw /Y
By Approve
0- CONTRACTOR, A "T RWLOINn INSPECTOR
Phone .Lr?t..-.N-61.x-.-----------
j
SBuilding contstructed of No. of Rooms_
MATERIALS Width .3 Z
' Height Gr7
Condition of exterior
Condition of interior
Present locations¢ 7 d; f-ea� �
No. Str Lot Block Tract ety
Proposed location(p J;U Ivy' -
No. '^- Street '7 Lot f Block Tract Co ity /�
Site location on new lot / 90 -s-c�Ci. egg /r'. ��&2' 4 11)Azi/'
Route on which building is to be moved i sLu "Ne ezAll-ac
Tax certificate filed Ownership cUertificate filed Fee Deposited
Other information
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