47 APPL-ICATION�F�O`R HOUSE MOVING PERMIT
T® 6c3�- t�CI*�OF CUPERTINO
, DEC 13 9$`'00 L.
Date 195_ Permit No.
CITY OF CUPERTINO Fee S�
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 � =M
v
B Ly, )�� Approved
CONTRACTOR, AGENT BUILDING INSPEC
I
Building contstructed of w " m d , No. of Rooms
MATERIALS Width '7
Height 6 �
Condition of exterior n
Condition of interior 0
Present location ) ox---� 62 t I I Lr
No. ,.,t Lot o`ck Trac C' y
Proposed locations
No. Street Lot/ Block Tract City
Site location on new lots?10 d((Q-
Route on which building is to be moved
Tax certificate filed w ership certificate filed Fee Deposited
Other information