82 APPLICATION FOR HOUSE MOVING PERMIT
DGBY OF CUPERTINO
I 1962
AUG 2 0 1 5— Permit No.
Data 9
O
OFF ttnn,,II�F p 1n4 r`�' Fee$�p
Cl�pplicati6n is`heieby madl to the City of Cupertino for a permit to move the building
o: described on the reverse side hereof from and to the specified location at the time and date
n:
indicated in accordance with Ordnance No. of the City of Cupertino.
I� I
Owner
By A""— Approve,
pprove lee
25 Lt�� J
Cr`rRRACTOR, AGENT-�p�. BUILDING INSPECTOR
Phone&/.rzS...:r. .a.l.i.l._`..
Building contstruded of-- Gtr r 1 No. of Room
I$ATERIALS Width �r
Height
Condition of exterior
Condition of interior
Present location
Not Stre Lot Block Tract City
Proposed location
No. Street Lot /Block Tract
Site location on new lot
Ro on which building is be mlpvlc i
Tax certificate filed Owner ip certificate filed Fee Deposited
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Other information