79 (APPLICATIONF REHOUSE MOVING PERMIT
bO4
CITYCUPERTINO
/MAY 2 5 1962
Date (191�Z Permit No.
�+ �7
CUPER
q 1 IIYO 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.
Owner
y Approved
r
CONTRACTOR, AGENTmLDING INSPECTOR
Phone .,*IW :. qo--0- .-......
Building contstructed of No. of Rooms
MATERIALS Width
Height
Condition of exterior
Condition of interior
Present location L�
No. et Lot Block Tract City
Proposed location
No. Street Lot Block Tract City
Site loca7 on new to
Route on which building is to be moved iv lw
x�
Tax certificate filed Ownership certificate filed - Pee Deposited
Other information