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FTIONVO)'VI-IOUSEPPLIC=AMOVING PERMIT
CITY OF CUPERTINO
4V V 3 1961 .
1G9
Date —RTW� � Permit No.
CIT�/ t:R i I'i� o
11 Fee$C O
Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from anto the specified location at the time and date
indicated in accordance with Ordnance No.VZ of the City of Cupertino.
V,J
Owner__^__C _
i
1 I
Approve
BUILDING INSPECTOR
Phone , �.....� .L../
Building contstructed of f tzA ems)5 rt Dt� t� 2 E� No, of Rooms
M*ERIALS Width
UHeight /
Condition of exterior
Condition of interior N ex–Q
Present location 2 {=q A I -N. t rA -
No. Street LotC J Blockract City
Proposed location o tJ`t A 25 } S��\ il-L jsc A , u w�
- No. Street Lot Block Tract City
Site location on new lot
Route which building is to be moved WQ S� O SS- Q kJ-
2cv L C
Tax certificate filed Ownership certificate filed Pee Deposited
Other information