19 APPLICATION FOR HOUSE MOVING PERMIT
�CIT�OF CUPERTINO
1 DEC 2 - 1,%9
1
Date 195_ Permit No. �
CITY OF CUPERTINO pee so
,V Application is hereby made to the City of Cupertino for a permit to move the building
N described on the reverse side hereof from afild tp the specified location at the time and date
n� indicated in accordance with Ordnance No. of the City of Cupertino.'
`\
Owner �/J/r
By Approved
CONTRACTOR. AGENT BUILDING INSPECTOR
Building contstructed ofa` ./�6��rK2_ No. of Rooms_SZ
IMATERTALS Width
Height /7
Condition of exterior_
Condition of interior—
Present
nterior Present location�?T L�:1
—iVp. Street Lot Block Tract Air,,
Proposed location /,— 3 _
Nn. Street Lot Block Tract
Site location on new lot /J
Route on which building is to be moved
Tax certificate filed Ownership certificate filed Pee Deposited
Other information