170APPLICATION FOR HOUSE MOVING PERMIT
CCM' OF CUPERTINO
FMAR 10 lgr5 H
Date 195_ Permit No. t 707
CITY OF CUPERTINO Fee $ ` Cc/
Application is hereby made to the City of C pertino for a permit to move the building
described on the reverse side hereof from a d the specified location at the time and date
indicated i" a Gordan with Ordnance No. of the City of Cupertino.
Owner
BUILDING INSPECTOR
Phone X. -._..-----------
Building contstructed
Condition of exterior,
Condition of interior
Present location_
Hca f z
MATERIALS
No. of Rooms
Width
Height
Proposed location l0 ' 07Ts (D. V 11 A5 (V I \,X )CX.
No. Street
n_ /J ,�.,Lottoa Block Tract City
L,SL
Site location on new lot L--c�-�i4
Route
is to be
Tax certificate filed Ownership
Other information
Deposited