33 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Datetoo- Permit No. �
Fee $_/Ild FEE
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.
Owner /a2r .
Y
c t
Y
U
v By Approve
CONTRACTOR, AGB T BUILDING INSPECTOR
Phone " —3.3p?- ----------
Building contstructed of /,) ,� No. of Rooms
MATERIALS Width '
� � Height
Condition of exterio
Condition of interior
Present location
No. Street Lot Block Tract City( P _t
Proposed lo cation f � � 3&4 61. -
'o. Street Lot ock Tract U City
Site location on new lot
Route on which building is to be moved Ta4a�
Tax_certificate filed Ownership certificate filed Fee Deposited
Other information