53 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
V S
Date 195— Permit No.
Fee $ — � �
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.
Vi, p
Owner V Q t2
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iy��i(/N�tCGh
By Q- Q Z Approved
CON
TRACTOR, AGENT BUILDING INSPECTOR
Phone --- ,� 2 3 :
Building contstructed of O No. of Rooms_I—
MATERIALS Width ';�
CHeight t
Condition of exterior C('
Condition of interiorMCC-142
7 00
Present location M C C e ti �1 k, 'yn
No, Street Lot Block Tract City
�7
Proposed location t �71 -, �I��U Qty i I fJ�
No. Stree ' Lot Block Tact l City
Site location on new lot
Route on hich b ding is to be moved V C ZJ(2-1 A K3 Q(2-
es e
Ta teem, cat Pled Ownership certificate filed pee Deposited
Other information