83 ®APPL��TION FOR HOUSE MOVING PERMIT
Cff F CUPERTINO
rSEF 24 9962
Date I L4 TINo95 Permit No.
LA 06
Fee
Application is hereby made to the City of Cupertino for a permit to move the building
r: 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
vApprove
CONTRACTOR, AGRNT BUILDING INSPECTOR
(j
honed--96. ..... ,
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Building contstructed of b enC� �fZfa-�1 4 No. of Roo��ms
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MATERIALS •r Width—J
HeightK
Condition of exterior (Ct b'A
Condition of interior C�l tt�,A
Present location , t I ty)
No.. Street hot Block ract City
Proposed location VrLI;' S
No. Street Lot Block Tra t city
Site location on new lot _ t
oute on which building is to be mo
^� • e-u. czcani0% MFi7ct r.\� —�2estoJ
Tax certificate filed Ownership certificate filed Pee Deposited
Other in rIr7
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