21 APPLICATION FOR HOUSE MOVING PERMIT
\ TTY OP CUPERTINO
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\� �J Date ��r T (1_z�QQ_ _�5— Permit No. -I
1 Pee $ O30
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Appli tion s liereb'ymalIPa thf
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
(y '�indicated in accordance with Ordnance No. of the City of Cupertino.
vG ; Owner_ /�-�
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Approve
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ON RACTOR, �a 1' BUILDING INSPITMOR
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Building contstructed of //(/L�ii LL, S/ No. of Rooms
MATERIALS Width VP
Height /l �
Condition of exterior
Condition of interior 11
Present location
No. Street/ I.ot, Block Tract city
i
Proposed
Incation\=��:
Na, Street Lot Block Tract City
Site location on new lot
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i n3U /xl*h' i oo. f & o
Route on which buil m is n be �ed� ie L_ .l �
Tax4 ertificate fled Ownership certificate filed Fee eposited
Other information