178 9 l
APP,_L'PDATI'O:N fOR HOUSE MOVING PERMIT
OF CUPERTINO
1JUN 30 1965 U Fee � �jQ
Date — - 3 O Permit No. / / O
C Y OF CUPERTIN0 n
V
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.
Owner �cG�c%-+.�-.��
u
v
I y _ 1 �' Approved-
CONTRACTOR, AGENT BUILDING INSPECTOR
.�.�(..
Phone ..Z._5.2--2s.'.4.z................. `�
SII
Building contstructed of No. of Rooms
MATERIALS Width .2 V XS C`
Height l/
Condition of exterior
Condition of interior 4� + Q Q n
Present location �'- f/ d �.2--�-a l/Lecl���c, I
No. Street Lot Block Tract City
Proposed location � {��� C
No. Street Block Tract City
Site location on new lot �-[t•1P
Route on which building is to be moved ,24"� -
Tax certificate.filed Ownership certificate filed Fee Deposited
Other information F