89 (2) APP,L'•ICATIO,N ,FOR HOUSE MOVING PERMIT
E CITY OF CUPERTINO
/�NOV Z 9 19F2 X�J
Date ( - 196/ Permit No.
CITY OF UPERTINO Fee$
Application is hereby made to the City o,f�Cupertino for a permit to move the building
n^ described on the reverse side hereof from arp ro the specified location at the time and date
indicated in accordance with Ordnance No. �f 2-of the City of Cupertino.
Owner
v
elk
J
By Approved
CONTRACTOR, AGENT y/ 1111011 INSPECTOR
Phone xl-' -�'{ /-' / '
----- -- ------- ----c-----------------
Building contstructed of �� —4 No. of Rooms
MATERIALS Width
Height i1
Condition of exterior
Condition of inter or
Present location
C
Lot Block Tract
(�L�
Proposed location - oi_ —
No. Street (- Lo_ t Block � Trac[ City
Site location on new lot
Rouraon,eich building is to be moved
Tax certificate filed Ownership certificate filed Fee Deposited
Other information