77 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
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Daten IJAL ,ti 95_ Permit No, 77o
Fee $_ .f
MA0,I'ITI(ioroThe%rgf��¢{Qity of Cupertino for a permit to move the building
described on it a reverse si a hereo £`room and to the specified location at the time and date
�. indicated in accordance with Ordnance No. of the City of Cupertino.
Owne
41Y
C
By Approved
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CONTRACTOR, AGRNT BUILBING INSPECTOR -V
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Building contstructed of !L"^ No. of Roo-��m,s����
MATERIALS Width
' Height / 7 �
Condition of exterior
Condition of interior
Present location
N . Street Lot 33J ock Tract City
y
Proposed locatio
No. Street Lot Block c
Site location on new lot
Route on which ilding is to be moved
Tax certificate filed Ownership ertt tate filed Pee Deposited
Other information