24 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Dute ��. _
5L Pennit No.
Fee $ � O�b
' � fiRe ViV
ApIlIT ii onn�hemblylnpi de t Ith rty 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.
N
Owner
` 0
\ By �� � Approved
CONTRACTOR, AGLN9BUILDING INSPP.C'1'UR
Building contstructed of VV No. of Rooms- Y'
MATERIALS Widt
Height /.'S'
Condition of exterior_
Condition of interior 12_
Present location /2..,,?Scl___ L-- _
Stre ock y
ct � t
Proposed location9��='—�
No. Street Block Tract City
Site location on new lot_
State on w ichilding is to b moved 1 t'
rCy�..cTJf
r
7
Tax certificate filed Ownership certificate file Fee Deposit
Other information