87 APPLICATIOZ-FOR HOUSE MOVING PERMIT
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LT ! n @. CUPERTINO
MOV 2 0 1962
Date 1195— Permit No."�__
CITY OF CUPERTINO Fee $
r Application is hereby made to the City of Cupertino for a permit to move the building
described on the reverse side hereof from an to the specified location at the time and date
L ^ ' indicated in accordance with Ordnance No. -12
f the City of Cupertino.
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OwnerU
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By ee Approved _
CONTRA7CTOR, AGENT �/ Bull.. INSP17cl-oR /
Phone ..al7:..„�C.......1��...(�1. ✓.
Building contstructed of 'w C C u No. of Roonts v
MATERIALS Width_
n (� height ( s ,
Condition of exterior
Condition of interior__
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Present location >
Na Street /y].�1.at lock _ Tract ity
Proposed location
Na. Street Lot Lot ' Black Trn<t City
Site location on new lot ( e -4,- t=n�X Q
Route on which b i(ding is to be moved ��� Q V Alt • S
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Tax certificate filed Ownership certificate filed Pee Depositedjlbz�` �^ v
Other information