180 7;oa -,F: 3-d fg1-1.
FULAPPMGAT�NIF�1O��R HOUSE MOVING PERMIT
I�'j15OF CUPERTINO
22 1965 L��JJ.���JJJ
�JDate 195— Permit No. �Q
rI I aG
v r Fee$
" Y Application is hereby made to the City of Cupertino for a permit to move the building
n^ described on the reverse side hereof from and to the specified location at the time and date
Mindicated in accordance with Ordnance No. of the City of Cupertino.
3 E Owne- 2 / �
/ig24ZZgyp.
e27 PP
1 �� ln/<� � 1_ Approved
f CONTRACTOR, AGENT BUILDING INSPECTOR
�' Phone 5._3----r.�..3----°-------------
Building contstructed of No. of Rooms
-I--
MATERIALS Width c=R19
Height 7 ,
Condition of exterior
Condition of interior
Present location
No. Str t Lot Block Tract City
Proposed location r
No. Street -� Loot /Block Tract City
Site location on new lotJ KMl
Route on whio buildin ' to be moved
o
Tax certildate.filed Ownership certifick filed Fee Depcl—% C�.
Other information /00 C)