72 APPLICATION�F,OR HOUSE MOVING PERMIT
(f1 CI Y O �CUPERTINO
g/ NOV 9 1961 )
Date 195_ Permit No. /
00
CITY OF CUPERTINO Fee -
Application is hereby made 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.
Owner
c
v
Approved _
CONTRACTOR, AceNT kAf' ecroa (u1
all'30P�
Buildingcontstructed of � 4
No. of Rooms
MATERIALS Width 27
Height 17
Condition of exterior
Condition of interior
Present location
No. Street Lot. Block Tract City
i
Proposed location / 3
No. Street Block Tract City
Site location on new lot
Route on which building is to be moved �C o
Al 5
cfO`J
.Tax cert' ate le Ow ers 1p certi care 1 Pee Deposited
Other information