84 APPLICATION-FOR\HOUSE MOVING PERMIT
F� ` =- :CIJOF CUPERTINO
'10C T
r0CT 18 1962 �.//
Date /O 1 =✓ Permit No. Y/
CITY. OF. CUPERTINO Fee s o70
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
l� indicated in accordance with Ordnance No. of the City of Cupertino.
v0
Owner
v
V By ` `� Approved?jc% ClE tiG�
CONTRACTOR, AGENT BUILDING INSPECTOR
? 7 _
Phone ...C .... . .�.z.........
Building contstructed of No. of Ro mss
MATERIALS Width
2� Height
Condition of exterior
Condition of interior
lip
Present Iocation�DS// Jx-+zJ
No. treet Lot L IB ock. Trac City
Proposed location 6770 /�2v�r1Z k T�
No. Street Lot Block L ract City
Site location on new lot
Route on wh' h building is to be,oved ,
Tax certificate filed Ownership certificate filed ✓ Pee Deposited w�
Other information