99 ) APPLICATION FOR HOUSE MOVING PERMIT
✓� G CITY OF CUPERTINO
AY I
Date Permit No. / 7
� I r ► Y� �Y'c _ .. . _ o
Pee
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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V
v B i ApprovedlS
i CONTRACTOR, AGGNIBUILDING INSPECTOR
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Building contstructed of No. of Rooms_
MATERIALS Width
/Q Height
Condition of exterior
Condition of interior
Present location 2&-22
tree Lot Block Tract y
Proposed location .
No. Street Lot Block Tract C
Site location on new lot
R to on which building is to be mov d-Zai
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a
Tax certificate filed - Ownership certificate filed Fee Deposited �Q
Other information