37 c1 ALAKICA710N FOR HOUSE MOVING PERMIT
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VSEP 201$�V W OF CUPERTINO
L(L' Da'Eeffy ( CURRTINQ, 195.2 Permit No. Z7
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Fee
�! Application is hereby made to the City of Cupertino for a permit to move the building
V1 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.
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Owner � IyI1I� WbC) C, 2Vd'�
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Byz�� ./�f/t� Approved/ - r
CONTRACTOR, AGENT ✓BUILDING INSPECTOR
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Z, Phone'v4--`2_.�.-_.�1�6.�-'�--------..... ln6ol.I-12c� G-YC-6o
Building contstructed of t�-I��C'1 <?Xao
No, of Rooms
MATERIALS Width. t9�-
Condition of exterior
T i� Height ! 9 , nA3-)>,I I!r,
Condition of interior i 1z
Present locatiorf:P1
No. Street Lot Block T/rract� 'ty
Proposed locati0l G
pp CA /h�'no J�LCj r _11'L�' &;I A C ARA LGt)ti%r
No. Street Lot Block Tract City
Site location on new lot rr
Route on which building is to be mcvedi�"A-eS t P-ad w '(;c; cJ I Q 1 I LOC,
T J"rCrat�- � or.1 �-�wy-K4- f�J oto �iltw�ea r.� �..oc.�i tots,
Tax certificate filed Ownership certificate filed Fee Deposited
Other information