88 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
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Date 19�� Permit No. 0
g- CITY OF CUPERTINO Fees
Application is hereby made to the City of Cupertino for a permit to move the building
Mdescribed on the reverse side hereof from a to the specified location at the time and date
indicated in accordance with Ordnance No. the City of Cupertino.
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Owner
By -rR0o4PSGt-/Approved
CONTRACTOR, AGENT / BUILDING INSPECTOR
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Building contstructed of No. of Rooms
MATERIALS Width ;:�2-7
Height
Condition of exterior
Condition of interior
Present locationc� _
No. Street Lot Block TractCity
Proposed location <:ak q '4hI
No. Street Lot Block Tract City
Site location on new lots J
Re on which buildin istobemovedcz —
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Tax certificate filed Ownership cer ' Cate filed Fee Deposited
Other information
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