93 I'RPLICATIO�FOR,HOUSE MOVING PERMIT
� I ft t:
CITY OF CUPERTINO
AN 281963 �`
Date — 1 3 Permit No.
1 t 'I Fee$
Application is hereby made to the City of Cupertino for a 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.
1
O ner
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c A
V
-Approved �i
v, CONTRACTOR, AVT ❑ILDING INSPECTOR
Phone -------------------- -------------------------
.
Build' g rants_ o. of Rooms_
yA�jRlAtg� . Width 7 J
T` 0� eight
Co dition of exterior
Condition of interior
Present location
No. Street Lot Block - Tract City
Proposed location
No. Stre Lot B109k Tract City
ZX
Site locati on new lot
KCIP
Route on which building is to be moved /tea/,Azht9fs[to/%Lf--/J �J�/�Cl�s�
��-GR'�Ld �' • �riL��G�-'¢��r/ �-�GCC�-tStcO.C/lt�iP.
Tax certificate filed Ownership certificate-h1ed Fee Deposited
Other information