34 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
�I
`:. Datc_[J_ I)o Permit No._
Fee $_
Thi 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 44te
indicated in accordance with Ordnance No. —of the City of Cupertino. /J
\ Owner_
,y
Approved_
� f,ON'1'IIACTOIt. AC CN'I' In11LDING INS19?C'I'ult
Pl,ouI
a. .. 3 .3 a s� IP
..................................
Building contstructed of_ No. of Rooms
MATERIALS Width
Height
Condition of exterior
Condition of inte
Present location_ i4
Street Lot Block Tract City
Proposed locatio ►< cu dl—
n. Street Lot Block T ct City
Site location on new lot
Route on which building is t be move
Tax certificate filed Ownership certificate filed Fee Deposited
Other information