71 APPLICATION FOR HOUSE MOVING PERMIT
FV� "�C � OF CUPERT[NO
tNOV 6 1661 ;
Date 195— Permit-No. 71
CITY OF CUPERTINO Fee
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
indicated in accordance with Ordnance No. of the City of��Cupertino.
O ( 4r
v
'a B � Approve
u
CONTRACTOR
AGENT BUILDING INSPECTOR
Building contstructed of No. of Rooms
MATERIALS Width
Height
Condition of ext
Condition i erior
Present I art ❑
I-
t Lot Tract City
1 , y /
Proposed I tign t.-
IIO a No t Lot Block Tract City
Site location on new lot
Ro on w ich building is t be m c]
CCS
Tax certificatee-filed Ownership certificate filed Fee Deposited
Other information_