76 APPLICATION FOR HOUSE MOVING PERMIT
CI O CUPERTINO
R 9 ME,
AP /
ut
Date 195_ Permit No. b
CITY OF, CUPPTINO Pees
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 . Ord nce No. _of the City of Cupertino.
Owner
t• JW�-t.-cn.L /
By/�� +-�Gccr.�.� .'�n.t,v...-. Approved
N
� CONTRACTOR, AGENT BUILDING INSPECTORPhone-\/C `.1 4;-,R a......
Building contstructedof 4 No. of Rooms
MATERIALS Width
Height
Condition of exterior /� -
Condition of interior !
Present location
Na Street Lott Block Tm City
Proposed location Q
No. treetL t _ Block Tract 'ty
CIV
Site location or.new lot
n
n
cute which buildinListobelmov �l�
Tax certificate filed Ownershipcertificate filed Pee Deposited
Other information