26 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
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Date 1 t� t9�26 Permit No., �YT'C O
JAN Pee $_ n
�y Application Is hereby made to the City of Cupertino for a permit to move the building
N desc[itjlyn yefrev64gtp eRyrm fgom and to the specified location at the time and date
indicMed In accordance with Ordnance No. of the City of Cupertino.
Own��crr��-� ��vu
Bd/i2z/ I�7pproved_ _
CONTRACTOR, AGENT BUILDING INSPECTOR
Building contstructed of No. of Rooms.��
MATERIALS Width�i'-riL��
Height—/--,,- -
Condition of exterior
Condition of interior
Present location_
Nol. Street Lo B — TTrrnctt ty
Proposed location��R`�
No. Street Lot Block Tract City
Site location on new lot
Route on which buildin '. to b d_
6 —
'rax certificate filed Ownership certificate filed Fee Deposited
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Other information