56 APPLICATION FOR HOUSE MOVING PERMIT
r� Cl OF CUPERTINO
Date Q Y �_ _ _ Permit No.
m0
Cp7I^ Fee
N7Ar FaYi,,Ne,6Ri R 9J9,ty of Cupertino for a permit to move the hm ding
1'(D 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.
l�
Owneral �L
By `�� o �/�/.� �2 proved
CONTRACTOR, AGENT BUILDING INSPECTOR
�J
� S
Building contstructed of �'2 fi f�9 c No. of Rootnx��
TERIALS Width f c+ r
!� Height
Condition of exterior
Condition of innterior
Present locatioc4 2
No. Street Lot B�lloc�k ract City
Proposed location l o f C) (/ C .��SZ �
No. Street Lot Block Tract City
Site location on new lot
Ro on which building is to be move C • 5Q� �
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Tax certificate filed /O.- hip certificate filed Fee Deposited L
Other information 5-11D n
5. 1to,('0r -