15 APPLICATION FOR HOUSE MOVING PERMIT
J.A& U C4T4Y.o Or cuPERTINO
Date ?OCT 13 1 permit No.
CITY OF CUPERTINO Pee $
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—��C1 ell .
B Approved- —
CONTRACTOR, AGCN9BUILDING INSPECTOR
Building contstructed of No. of Rooms_
MATERIALS Width
Height
Condition of exterior
Condition of interi
Present location _ �_ � _
'
Street Lot Block Tract City
Proposed locatio
No. Street Lot Block Tract City
Site location on new lot
�$oute on which buildin t o be move
Tax certificate filed Ownership certificate filed Pee Deposited
Other information