97 v
APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUiERTINO
27 Dat — — l95_ 1 omit No.
'FEB 2 8 ?a It1 Pee $-Q(:)
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�! Applicati'n isll�ercby�madcryo ity of Cupertino for a permit to move the building
described on thle llersefslde h�rer�lj'Fsolp�k4d o the specified location at the time and date
indicated in accordance with Ordnance No. _of the City of Cupertino.
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Owner_t��
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v By—�� Approved_
CON(IRACTOR. AGRN'iBUILDING INSPGC'I'oR
Phone XF4---fj O �Cl
Building contstructedof_/LfL t '�_ No. of Rooms��
MA 'ERIALS Width_1397._..,
Height / J
Condition of exterior
Condition of interior
Present location2T —`�
No. Street .ot _R o/J� Tract rty
Proposed location--Asa_/f/-//— {r�T�-ra-c,�
Na. Street Lot Block r// "I�r:�ct
Site location on new lot
Route on which building is to be moved �t
Tax certificat ft ed Ownership certificate filed Pee Deposited
Other information