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APPLICATION �QR HOUSE MOVING PERMIT
C P CUPERTINO
07 1962
! Date r p n 19Permit No.
Ci�
Y f CUf ERIINO tee $
`Mt Application is hereby made to the City of Cupertino for a permit to move the building
1 describe the reverse side hereof from aQhe specified location at the time and date
1� indiCat d in a cordance with Or nce No. (he City of Cupertino.
W ; !
Owncr_1 ��
5
B J`S!1` /i`tApp'r(ovo
d
- CONTRACTOR, AGENT BL' DING INSPECTOR
Building contstructed oJVI-, No. of R000s_L—
MATERIALS Width
Height ( G
Condition of exterior
Condition of interior r,
Present location; G I f
Nu. S eett of Block Tract G
Proposed location.... -�
No. S�B!ock Tract city
Site location on new lot ---{�
Ute on which buil i g is to be moved
6ocJ
Tax certificate filed Ownership certificateFee De osited
Other information