127flAPPLIC-ATION, FORS. HOUSE MOVING PERMIT
i NN 6 �Q�.�CI J OF CUPERTINO
Date Permit No. f a
V J VI b\\00• V
Fee
Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from andto the specified location at the time and date
indicated in accordance with Ordnanm No. f the City of Cupertino.
/-02,f-)
-74 CONTRACTOR, AGENT
Phone`" '� 2 1 G
Approved , '
BUILDING INSPECTOR
Building contstructed of `il �(4 e -.p4 -S74--CC o No. of Rooms
MATERIALS Width ;9f �
��o
Height—i-7—/—
Condition of exterior /
Condition of interior L7 0 e
.Present location A;;�2rQ 4�J� ��' /ej
No.
Street
Lot Block
Tract City
Proposed location '501fG /
V`
��FCJL/ LC -F
�4j b S e
' No.
Street
Lot Block
Tract City
Site location on new
G
!1>Wie e --
Eli
Ron a on w(ai_�h building is to be moved '_ N
% �l�iCl/. 4.(� %O .��1C o 5
Tax certificate filed Ownership
Other informati4
//-io-(,3
filed Pee Deposited
IN