60 APPLICATION FOR HOUSE MOVING PERMIT
U�j ,p CITY OF CUPERTINO
Date QUG4 D. 5— Permit No. O
CITY F 'f P{ pTlp�/� Fee $�i�
Applic:iti n iS hpe�5yr 18AT ll'h'dCity of Cupertino lora 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 th City of Cupertino.
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By Approved
VCONTRACTOR, AGF.N'I' tlnILDWC [ SPECTOa
4Ph�ne6< ,2 3 a S�
Building contstructed of V,4—� No. of Rooms CL
MATERIALS Width
Height
Condition of exterior
Condition of interior
Present local . ,
No. Street Lori Block Tract ,City
Proposed locati
No. Street Lot Block T ct City
Site location on new lot
Route on which building is to,,.m��oovGved
1
Tax certificate ed Ownership certificate filed Fee Deposited
Other information