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172 APPLICATION FOR HOUSE MOVING PERMIT CITY OF CUPERTINO Date 7 3 d 19��1 Permit No. 7 Fee $ 0 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. Owner / l L` t V /� Appr . V; CONTRACTOR, AGENT BUILDING INSPECTOR Phone _�GL..Z.-.�CL/_ ----------- Building contstructed of /--�e;71� & No. of Rooms/ MATERIALS Width tar Height Condition of exterior Condition of interior Present location L/N GOl/1 .� oa �Nqo. Sheet Lot Block Tract City p Proposed location/!L/G!/� ,J,� � Fl�l�l e No. Street Lot Block Tract City Site location on new lot / Route on which building is to be moved reyz�O.0 Tax certificate fi ed GOwnership certificate filed Pee Deposited Other information