23 APPLICATION FOR HOUSE MOVING PERMIT
&110
IT OP CUPERTINO
E 1 5
Permit No.
CITY OF WURTIN10, $ ?o.
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.
Owners
dv� /il,... �` _ Approve ✓
CONIRACTOR, AGENTBUILDING INSPECTOR
Building contstructed of � No. of Rooms C
MATERIALS Width—a�
Height /J`7
Condition of exterior_ —.
Cunditiou of interior_
Present location�� Q`J _ c
Street c B ck Tract v
Proposed locatior<�zt7
No. Street I. Block Tract City
Site location on new lot
oute on which building is o be moved h<'
_fit - •C-17tcY�
Tax certificate filed Ownership certificat filed ee Deposit /d-
Other information