105mT
EIAPPLICATI0
N FOR HOUSE MOVING PERMIT
JUN 5 196VTYLOF CUPERTINO
Date '1 CUPERTsai9� Permit No.
on
Fee $ aD
M: 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
v
c
-�
By
CONTRACTOR, AGENT
IPhone CR6e?..-. RC 4-
•
Building contstructed of Ai4,ve ll-- ( U CC U No. of Rooms
MATERIALS Width
! Height 7 ,
Condition of exterior d'6o
Condition of interior c66 o <:
Present locatiody�Qy�Yo `'I/ 11 etep 472-'
No. Street Lot Block Tract City
Lor. C�
Proposed location uc✓v� �I !i✓G K/$�' e
No. Stree Lot Block Tract City
Site location on new lot
Route on which building is to be moved -T ZL I Ta S1 9/--45 ztk
i6VTa `T� a � Sri-�l/ was �
/pro
Tax. certificate filed Ownership certificate. filed Pee Deposited�Q
Other information -