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102 APPLICATION iFOR HOUSE MOVING PERMIT CITY OF CUPERTINO '( JUN 3 Date v 19 Permit No. CITY. OF CUPERTNO Fee \i 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 U. indicated in accordance with Ord anm No. r, of the City of Cupertino. Owner v Y - t V ' By Approved v: CONT0.ACT0¢JAGENT BUILDING INSPECTOR yq Phone V ..... ' Building contstructed of , c No. of Rooms MATERIALS Width Height 1,7 Condition of exterior Condition of interior ��,, � �— Present location ��g 006/ , - I No. Street Lot Block Tract City y� }� Proposed location No. Street Lot//' ot Block Tract Ci Site location on new lot Route onwhich building isto be moved r Tax certificate filed Ownership certificate filed Fee.Deposited Other information