3 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPBRTINO
Date / _ 9 Permit No. y
00
APR 7 ��� Pee $
Appl eat n is hereby'made t -the ity 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
Indic2�Ilifac��danCU .Wj�jg6No. of the City of Cupertino.
vV, e1!
Owner
y Approved
CONTRACTOR, AGENT DUILDIN' INSPECTOR '" y
Building contstructed of 6z�� No, of Rooms
MA .Rrnt.5 Width_/�_
Height
Condition of exterior
Condition of interior
Present location
Nn. �J-�� ¢�St Lot Block Tract '1y II City
Proposed locatioptC]prG � �� ���c�
CV/ o, Street Lot Block Tract City
Site location on new lot
Route on which building is to be moveds / r
Tax certificate filed Ownership certificate filed Pee Deposited
Other information