55APPLII--AT'O_N FOR HOUSE MOVING PERMIT
JANCTft-F CUPERTINO
.I
1MAY 9 1961
Date 195_ Permit No.
CITY OF CUPERTINO Fee s,2,0
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.
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V' ApproreA�r.+.rnit--Q./—C—GX
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+�. ��e � CONTRACTOR, AGENT BUILDING INSPECTOR
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Building contstructed of
46OF
MATERIALS
Condition of exterior
Condition of interior
Present location
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No. Street Lot Block act
Proposed location
No. Street Lot Block Tract
Site location on new lot
Route on which buildineis to -be moved /XQ��
No. of Rooms_
Width
City
Tax cartifica`te filed ' Ownership certificate filed Fee Deposited
Other