5 ® APELICATION FOR HOUSE MOVING PERMIT
Al OF CUPERTINO
'APR 13 9959
Date I95— Permit No. o
CITY OF CUPERTINO Pee $
Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from an to the specified location at the time and date
indicated in ordance with O dnance No.�aof the City of Cupertino.
Owner_
CGS LA,_
By Approved
CONTRACTOR, AGENT WILDING
- /INSPECTOR
- n' =
Building contstructed of No, of Roo ,
MATERIALS Width o
Height-2(P—
Condition
eight2(_Condition of exterior �
Condition of interi/orq �f
Present location �—
No. Street Lot Block Tract City
Proposed location—'g,"
No. tr�t t Block Tract City
Site location on new lot
R ute on which building is to be moved ��4
Tax certificate filed Ownership certificate filed Pee Deposited
Other information