64 AP�P1L'�I;CA�TION OR HOUSE MOVING PERMIT
Z-) ' l C OF CUPERTINO
U ISEP T 9
Date 195_ Permit No.
CITY OF CUPERTINO.
n Fee :;2�
n
f� Application is hereby made to the City of Cupertino for a permit to move the building
`I described on the reverse side hereof from and to the specified location at the time and date
indicated in actor ance with Ordnance No.M of the City of Cupertino.
Owner I
y ) -OILApprove
J
CONTRACTOR' AGENT BUILDING INSPECTOR
honee . ......??,J ^ 5
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Building contstructed of ��� r�� No. of Rooms
/7 MATERIALS Width
/(( Height /t'5"
Condition of exterior .��--?1
Condition of interior i i
Present location
No; Street t Block Trac/ City "
t
Proposed location L0i.
No. Street t .. Block Tract City
Site location on new lot
Route on which building is tq-be ,tom
Tax certificate fil Ownership certificate filed Fee Deposited
Other information