39 Ff
PPL`I ON, FOR HOUSE MOVING PERMIT
CIOF CUPERTINO
OCT 17151
c 1-39
Date 195— Permit No.
CITY OF CUPERTINO Fee $ n
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 I ation at the time and date
('\,- indicated in accordance with Ordnance No. of the City Cupertino.
Owner
v
By/ll c /s P�c _ �� Appr l
CONTRACTOR, AGENT aUl[�I INSPEC
s
E c� 3 Jq 3 d
Phone - ---- -
- .-------------------------------
Building contstructed of No. of Rooms'
ATERIALS Width c?
Height
Condition of exterior
0
Condition of interior
Present location
N,00../ Street Lot Block Tract Cit /� p
Proposed locatioj/A/ � �/%r�P
No. Street Lot Block Tract City
Site location on new lot
Route on which building is to be movedif'�Gto
Tax certificate filed Ownership certificate filed tee Deposited
Other information