131 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO a
( Date �' �'_ b 19�b� Permit No. Z—L?Z
Fee$ xin FEE
Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from and ta the specified location at the time and date
indicated in accordance with Ordnance No. the City of Cupertino.
Owner Cc2�� moo/ �is
PP
P[RAC EVILDWG INSPECTOR
Building contstructed of No.of Rooms— IF
MATERIALS Width v5 � `.
Height (c
Condition of exterior
Condition of interior
Present location
No. Street Lot Block" Tract City
Proposed location
No. Street Lot Block Tract City
Sit onion new lot
v�� 6 ho;
on
iA� — GC"►.S
oute on which building is be move
LV - 71 LS -7 — lGo!yn,E
Ifd G teau
Tax certificate filed_ Ownership certificate EFee.Deposit
Other information
TO TEPARTM ENT
• RECEIPTCITY OF CUPERTING
•
COLLECT'OR'S OFFICE
N1 £O5CI$5 81 •
- - DATE"' ' 19�
RECEIVED
FROM
• ADDRESS
• CpswI CHeL� I ®oxer LA
I �
Y OPn[e DOLR8 CENTS
RECEIVED 'lPV