7AP�PLLII�CATIIOON FOR HOUSE MOVING PERMIT
®Ja t OF CUPERTTNO
(m�6Em.� r• D ~�
Date MAY 8 1959 195_ Permit No.��,/
CITY OF. CUPERTINO Pee
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
indicated in accordance with Ordnance No. of the City of Cupertino.
i
By _ Approve.
CONTRACTOR, .IGEN]bUl1DING INSPECTOR
Building contstruded of �
MAT�EIRTALS
Condition of exterior
Condition of interior �V
Present locatiot
No. [Street
Proposed location
No. treet
.Site location on new lot
Route on which building is to be mo
No. of Rooms..7'�
Width
Height
1
Lot Block Tract city
Lot Block Tract City
Tax certificate filed Ownership certificate filed Pee Deposited
Other