17 r �
APPLICATION FOR HOUSE MOVING PERMIT
D(95-2-
OP CUPERTINO
Date „,^.' Permit No. /7
CITY OF CUPERTINO Pee $ C'�o
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.
Owne _
J"P"j
By 1 _ Approved.
NT TOR, AGENT BUILDING INSPECTOR
Building contstructed of_ y l -X No, of Rooms
MATFRIAIS Width
Height_A(I —
Condition of exterior
Condition of interior*1�,_
�o6oPresent locationBlock Tract ityProposed locatio4) 2- _?4't--
No. S t LBlock Tract City
Site location on new lot
Route on which b 'lding is to be moved _
,2
Tax certificate filed Ownership certificate filed Pee Deposited
Other information