80 APPLICATIONFORFOR HOUSE MOVING PERMIT
IW-OF CUPERTINO
JJUN 12 1962 A 'R
Date 195_ Permit No.
�*� m0
CITY OF CUPERTINO Fee$s2L.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 location at the time and date
indicated in accordance with
Ordnance No. _of the City of Cupertino.
Owner &2 L fA C+
By X �/IGCL/C�ct(Lt�'�' �-Approved
i
�CONTRACTOR,
}AGENT
/ BUILDING INSPECTOR
Building contstructed of �Q ` No. of Rooms
MATERIALS Width
Height
Condition of exterior G 0 o
Condition of interior van ,
Present location l u S 1 P'CA v l Scl :;A=�
No. reetLot Block Trac City
+
Proposed location 1( - : �� "C" U^5��
No. Street Lot Block Tract City
Site location on new lot b oy e
Rt o on which b ding is to be moved-" t �Q J
s M t v
Tax certificate filed Ownership certificate filed Fee Deposited
Other information