54 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
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v! Date 195_ Permit No.
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Fee $
NO
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. '
Owner C Q
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By u Q Q Q }Z APProv 1h Aa
CONTR ACTON, AGENT BW LDING INSPECTOR
C2332 ��
Phone .......__..,...........................
Building contstructed of No. of Rooms r
MATERIALS Width
Height
Condition of exterior C Q G
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Condition of interior �-
Present location M� C d - Pa:/ NO
No. Street Lot Block Tract City
Proposed location e 5 o � C
Block
Ci C f til O
No. Street �ot Block Tract City
Site location on new lot -dy,iZ
( Anl ' L g
Route oneC0
`p�hich building is to be move
T �2 ot,1 .
a cert tate fi�ed Ownership certificate filed Pee Deposited
Other information