29 APPLICATION FOR HOUSE MOVING PERMIT
I
TFI 17 CUPERTINO
Date — �Q I � Permit No. �J
C,
CITY Y Pee
OF CUPERTI(
( _ Application is hereby made to the ity 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
v
c
a 13� Approved �
ai) 'HAC9'Olt AGT BUILDING INSPECTOR !/
Phone.L.�...7.,%Z-5.3.3..._........
Building contstructed of e�o. of Rooms-1—
MATERIALS Width
Height
Condition of exterior 44.;"w
Condition of interior C `
Present location
No. Street of Block Tract City
Proposed locatiot 1-1
No. Street Lot Block Tract City
Site location on new lot_ WAX,
7---
Route on which building is to be moved //le ! .d AX,_
Tax certificate filed Ownership certificate filed Fee Deposited
Other information