20 APPUICAT OI N ''FOR HOUSE MOVING PERMIT
�+ 1
CITf OF CUPLRTINO
I
N IVDGEC
- - 1959
Date
,-���r�_�-�-p- � 195— Permit No. �
1 1 1 1 U UU r--RT 0 Pee 3 A0 U 6—
Q 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
kindicated in accordance with Ordnance No. _of the City of Cupertino.
i
Owner
dy Approved
CCONTCTOR, AGENT BUILDING INSPECTOR
Building contstructed of L�el--ttzme A No. of Rooms
MATERIALS Width v
Height / 7
Condition of exterior
— ,hE,
Condition of interior _
Present location_,
`N�o.. Street 1.ot & Tract Cit
Proposed location T/_1
No. Stree[ Lot Block Tract City
Site location on new lot
Route on Which building is to be mov d./ W-
.6 IhA44
Tax ceyt,`,to file Ownership certificate filed Pee Deposited
Other information