95 FrIFE,
PLCA IO.N FORqq-HOUSE MOVING PERMIT
CITY (4
CUPERTINO
19 9953 UW ('�
Date ' � � r1
I n 95_ Permit No. —1
F L.1� I1�t V
Fee$ —
Application is hereby made to the City of Cupertino for a permit to move the building
describe the reverse side hereof from ant—o the specified location at the time and date
indicate in ccordance with Ordnance No. IS of the City of Cupertino.
r.,
Owner •�• a a
v
Bypprove
ACr ,R, AGEN i BUILDING INSPECTOR
Phon a -�� �
Building contstructed of si�a Q— No. of Rooms
MATERIALS Width 2 J O t
Height 1 t
Condition of exterior C A . 2
Condition of interior �A % 1
t
Present location k �w '"t, —f Q2C11�p
N Lot lock ct C� bC
Proposed location '��
No. Str Lot l Block Trac/11}t � City
Site location on new lot f Q
ute on which buildin is to be move — 66
Tax c ewners'p�eefifi tafe. d Fee os O
Other inform !ni