74 7.-�
/�b 2
IF
3 1.1962 N C O HOUSE MOVING PERMIT
D E CUPERTINO
JAN �'
Date CITY_p.0 GI IDCRTI.N�S— PcrmiC No. ,�
CITY I V V�+� '� OQ
M
Fee $
!" 1i
M Application is hereby made to the City of Cupertino for a permit to move the building
^I' described on the reverse side hereof from and to the specified location at the time and date
44:
V� indicat4nacante with Ordnance No. of the City of Cupertino.
Ownc
u v V
net-
;BY APProved
Y
,,�CO/NTNACTOft. AGF.KI' ❑BUILDING INSPECTOR2 1%z hone'.F.. `. ?a_/-6--f y.....
Building contstructed o_f No. of Rooms
MATERIALS Width Q
Heightn _
Condition of exterior
Condition of interior
Present location
No. Street LI Block Trnc
Proposed IocationX C&AL
No. Street Lot Block Trac y
Site location on new lot
Route on which building is to be moved 9
00
Tax certificate filed Ownership certificate filed Fee Deposited
Other information