117 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Data _ f 9A�a 195_ Permit No.
,117
Fee $ Ca `U
CITV.hahonon is.f`hereIIPFby RT"" '
Appcmade.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.
i
Owner -r��-'��
V
u By LA • Approved !' .
� CONTRACTOR/, A/SL£NT BUILDING INSPECTOR
Q� PhoneC .� / ---
Building contstructed of �/t«2c fl — \J. dCGti No. of Rooms
MATERIALS Width
Height
Condition of exteri
Condition of interior
Present location �� x�Vo�7JC 6;/ _
lo. Street �L�o • Block Tract City
Proposed location
No. Street Lot lock Tract Citi
Site location on new lot
Ro to on which building is to be yoved C 7
Tax certificate filed Owners h'p certificate/file Fee Deposited
Other orm do C.-t- ✓r-o 0