45APPLICATION FOR HOUSE MOVING PERMIT
�� OF CUPERTINO
Dat C 7 rSan
®�195_ Permit No. "7a
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(+� �/ (�[ (���DFRT (� Fee$ ao
�i4jplicafibh is hp4fby'rddJAge 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.
13
Owner.
N
C
v BYE rr c1 Approv
CONTAACTOA� AGENT BUILDING INSPB
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/2_Q Phone ............ .. /ozA-fA
Building contstructed of �C�9� P�XJ No. of Rooms
MATERIALS Width
,,// o Heigh
Condition of exterior 12�a q
Condition of interior
Present locatioo,�30f-(�I I I
No. Street Lot Block Tract City
b
Proposed locatiogZC 7 i�� — �r. 4&e4/
No. Street Lot Block Tran City
Site location on new lot /' e �� ,n
Route on which building is to be moved K�/hGf1� —,,e. 6o,,& K/� -
-At e?�/ z/"`"v a! n OO
'�'i'a`x�cer t tate tt7eL Own rshtp cent tate a Fee DepositedsL� �l —
Other information
HOUSE MOVING APPROVAL
UTILITIES CATION
HOUSE MOV.M=Z4aSA1- AD:S IS
i'
TELEPHONE:_ 17A1 6 - (, e p / STATE LIC
PROPOSED TO HOVEIV I
_/-STORY BUILDING FRONg oSl�GtN�e�i�.c To:[�S[fl
FINAL LOCATION ROUTE TO BE FOLLOWED:_,23 .
BUILDING: HEIGHT:_LZ_ APPROVAL:
WIDTH:
LENGTH:
P.T.&T DATEli"r'_
BUILDING DEPT DATE
�7 -
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