27 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Date a iQRn permit No. 7
l; p0
Pee $
Ap�lTTto.QI'ereby:'ParrekTtLNOty Q'
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_ r /
i)
vJ
CONTRACTOR, AGEN"1BUILDING INSPECTOR
Phonev ........................................
Building contstructed of V)&4 Z No. of Rooms,/--s/
�jMATERIALS WidthZ Z
Height
Condition of exterior
Condition of interior �j.
Present location
1 N//YY Street a.op Bloc" Tract City
Proposed lOCfltlOn-t,L�1
No. Street Lot Block Tract City
Site location on new lot
Ro eon which building isto be ved A
'b
Ta certificate tiled Ownership certificate filed Fee Deposited
Other information