49 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
U Date I 19L 1 Permit No.
<
Fee $
�4 Application is hereby made to the City of Cupertino for ape` r—dt-toQ/At e bmldQPG M$
�{ 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 0
ti
gy O1 Q —APProved 1
CONTRACTOR, AGENT BUILDING INSPECTOR V�-y
C
Phone .._....v.................................... Q
Building contstructed of )® CDC/, No. of Rooms '
MATERIALS Width
,.f Height
Condition of exterior -`7 G 0[p'
Condition of interior C, o o 4
Present location ]FR!C+A '� C�qn •
No. Street Lot Block Tract /�City
Proposed location CgZe S Oji t�k�f-q:��C"� IZ l_. o @
No. Street Lot Block Tract City
Site location on new lot ArE\AQ . y
� e,azdelti— e CQ ;
Route on which building is to be movedt.1 4 ( u ! - M?Vt
Tax certificate filed Ownership certificate filed Pee Deposited
Other information