70 APPLIC5A-' ,T.IONJOR HOUSE MOVING PERMIT
E,® C1�Y O CUPERTINO
6 1961
E,
1
Date 195— Permit No. d
CITY OF CUPERTINO Fee SCn
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
i ted in accordance with OrdnanceNo. of the City of Cupertino.
a,
Owne
* Z,4,a6z
Approved
.. 1 Cjj�,�CONTRACTOR, AGENT BUILDING INSPECTOR
`�, 7/...=.....
Building contstructed of No. of Rooms_
MATERIALS Width
Height
' Condition of xt for
Condition i eri
Present locati n f
l� 4 �No.1/ ` t Lot Block Tract' City
Proposed Zjion (c !\
No. - 'Street Lot Block Tract City
Site location on new lot
Route on w ' h b lding is to be moved
N 4�
Tax certificate filed Ownership certificate filed Fee Deposited
Other information