90 .APP/LIC.A\TIJON)ROR HOUSE MOVING PERMIT
F
CI'ItY' OP CUPF.RTINO
DEC 1$62 '
Date '. 194 - Permit No. �
CITY tf CUPERTINO
Pee $�C)
�'(\ APPlication is hereby made to the City of Cupertino fora 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 the City of Cupertino.
Owner , ti
V
v ,
Approved ��
c CONTRACTOR, AGENT' BUILDING INSPECTOR
N
Phone AJ ...............'--
Building contstructed of No. of Rooms_
MATERIALS Width r
v� Height / (n
Condition of exterior :�� t.
Condition of interior
Present location
No. . reed)' L.(/ Block Tract City
Proposed location—v" Grf—¢ - �
St t ) Lot ock Tract City
Site location on new lot
Route on which builis t be moved —
,. �/
00
Tax certificate filed Ownership certificate filed Nee Deposited /-O
Other information