36APg ICATION�F`OR HOUSE MOVING PERMIT
V ® L& C�I�TY OF CUPERTINO
'.r(SEP 151930
Date 195— Permit No.
CITY OF CUPERTINO Fee $'�gp
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.
Owne'—'g-AJ
r
Approv
CONTRACTOR, AGENT
�/ 4 BUILDING INSPECTOR
Building contstructed of 26:2c�—
MATERIALS
Condition of exteri(
Condition of interi(
Present locationzz
Proposed locationl
Site location on new
No. Street . Lot V Block Tract
No. Street Lot Block
Route on which building is to be
No. of Rooms T-
Width_
Height_
Tax .certificate filed Ownership certificate filed of Fee
Other information