119 APPLICATION FOR HOUSE MOVING PERMIT
CIS OF CUPERTINO
'
(AUG b 5 1963 l%
Date 195_ Permit No. '
CITY OF CUPERPN" Fees
Application is hereby made to the City of Cupertino for a permit to move the building
.� describ on the reverse side hereof from n Ito the specified location at the time and date
iodic ed in accordance with O dnanct No. '� f-the City of Cupertino.
d
Owner
u _
vBy)C I/�'( ' Approve k
CONTRACTOR, AGENT BUILDING INSPECTOR
Phone o Y a�
Building contstructed of No. of Rooms 7
MATERIALS Width J 3
Height /:I
Condition of exterior
Condition of interior l
i
Present location ° 119 -
No. Street Lot Block - Tract City
Proposed location �'h- f f"
No. Street Lot Block`- Tract City
Site location on new lot /J
(a- 6&4/
Route on which building iF to-be ved �L
L•lJ/r
t
Tax certificate filed Ownership certificate filed tee Deposit
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- CA,p t�.�L i�
Other 'nf rmation X1=2 ' ` _
/S 3