68 APPL Nb, R HOUSE MOVING PERMIT
Y OF CUPERTINO
a10CT � 1961
Date 195_ Permit No. � o
CITY OF CUPERTINO Fee $em°
Application is hereby made to the City of Cupertino for a permit to move the building
O, described on the reverse side hereof from an(jtq the specified location at the time and date
indicated in acmrdance with Ordnance No.]2_of the City of Cupertino.
Owner L - G,
n n
By1T1�1,1,Cte1' rfAt� Approve
4-9 9 'w YaO 1 tECTOR
p�^P�Mne
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l
Building contstructed of }m Q No. of Rooms �
MATERIALS Width `
- p Height 1 7
Condition of exterior G r,1
Condition of interior Geo d
Present location Z �� ��A IE .Pj oS Q—
No. Street Lot Block T(e t�� A,, City `,
Proposed location '4F-2 t-,to S dAr I 4V Q} IV`o*1t�Q Y t5 t�.A ,
No. Street Lot Block Tract City
Site location on new lot P�S ®,j Q_
Raon which building is to be moved 6 —p�—0 ,3
P5Qc' Q- ,� R "Q-.
Tax certificate filed Ownership certificate filed Pee Deposited �bl
Other information