59 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
J
Date IAJ 1 O 4nM 195— Permit No.�
Fee $ move the
CATp�rlic i�n i0b y Balm hfthe City of Cupertino for a permit to move the build)
described on the reverse side hereof from and to the specified location at the time and date
v/i indicated in accordance with Ordnance No. of the City of Cupertino.
Owner TT7A R t `\
By' A�4J Approv
f4bSQ
9MACTOR_4GF.IQT BUILDING INSPP.CTOR
Building contstructed of I- 'IK A��i i= _ No. ofRoo
MATERIALS Width my
1 Height
Condition of exterior G O cj
Condition of interior �7`1 I' k'
Present location S zz :S 1 E \ I NrSte,
No. Street Lot Block Tract C1 ,
Proposed location O 3 0C�> _JI—tvt 7q,¢ t A GSI y
No. Street Lat Block Tnd City
Site location on new.lot
Route on which building is to be moved
Tax certific e filed Ownership certificate filed Pee.Deposited
Other information`