163 WJANAPS, LP ICAT�N`�F�OR HOUSE MOVING PERMIT
CITY OF CUPERTINO
18 1965 .0
Date..—/ [ k�'• ._ _ 196*S— Permit No. /
VII I Ur LUI'tlt I 1110 Fee$ G
Application is hereby made to the City of Cupertino for a permit to move the building
Sdescribed 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.
`iLZOwnereq--, L
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B :f YL � C ElGaJ• Approved
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h CONTRACTOA, AGENT BUILD41NSP=0R�� 6
Building contstructed of Cwt/� No. of Rooms
Width/z-K 2 O
Height
Condition of exterior
Condition of interior
Present location,
No. Street /Lot
Bloc Tract City
Proposed location
No. _ -Street Lot BlockTract qty
Site location on new lot
Route on which building is to be moved A%f-y�eiz-r,.
Tax.certificate filed Ownership certificate filed Fee Deposited
Other information