166 pIi
APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Date - 1 ,�� Permit No.
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
indicatedin acc
-
o
rdance with Ordnance No. of the City of Cupertino.
44
Owner—(-,e -
J � pp
B o4" &,V. Approved
A CONTRACTOR, AG: T IILDING INSPECTOR
Phone .G ........................................�.��
Building contstructed of C. - No. of Rooms
MATERIALS Width 30 s[3 2
�j Height /Y
Condition of exteriors/f—��z
Condition of interior e/./,�
Present locationT
No. Street Lot Block aSt C" ity
Proposed location 2 / 0"y/ 1 11 1
No. Street Lot Block Tract City
Site location on new lot
ey
Route on which building is to bejnoved
FeTax certificate filed Ownership certificate filed Pee Deposited_
Other information