35 APPLICATION FOR HOUSE MOVING PERMIT
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CITY OF CUPERTINO
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Date ��� J4P Permit No.
II�^ Pee $ —�•
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�! Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from ands the specified location at the time an d.
indicated in accordance with Ordnance N�o.� .of the City of Cupertino. lJ
Owne �
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'� By Approved_
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roNTBACrok. AGrN'r BUILDING INsveaou
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Phone-T->a--^-3
Building contstructed of No. of Rooms
MATERIALS XXridth
Height
Condition of exterior
Condition of interior
Present locationI
N Street Lot Block T' t ' G
Proposed location4L4L —
No. Street Lot Block Tract City
Site location on new lot
ute on which buil 'n/is to be movedo4
Tax certificate filed Ownership certificate filed Fee Deposited
Other information