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112 IAPP,k TIO FORA) HOUSE MOVING PERMIT
CIT'l DR CUPERTINO
! JUL 111963 � IIIUUU.%
Datef r n 1196, Permit No. //�
i�ir��PE �.:'��'
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Fee S— O
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
Qi indicated in accordance with Ordnance No. of the City of Cupertino.
Owner e oGGLi��/Ol' c
V
C r
L
V
"a By t Approve
vl C TRACTOR, AGENT BUILDING INSPECTOR
Phone .o2../.7_-a-©00 .
i
Building contstruded oNo. of Rooms
y'�
MATERIALS Width
Height L7
Condition of exterior le"
Condition of interior h//��
Present locationll—L-1/fGYLIL2 Z,
No. Street Lot Block Tract C'
Proposed locatio _,
No. Sire Lot Block Tract — ity
Site location on new lot
Ra to on which b 'Id'is to be mo > G Z,
�
oe
Tax certificate filed Ownership certificate filed Fee Deposited
Other information