169 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Date J — '3 19So Permit No.
Fee$ t '
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 ttie time and date
indicatedinaccordance with Ordnance No. of the City of Cupertino.
OwnerLL( i(ilL�
c
J
By 7�kll,4 Y' {�C PFL {�(�as • Approved
vI CONTRACTOR, AGENT BUILDING INSPECTOR
Phone ;.9?,
Building contstructed of`'6.4F--Ce4� el-g - No. of Rooms 0-A—f-
MATERIALS Width .719 x c�0
Height ��i`
Condition of exterior
Condition of interior
Present location Id is 6 lzu ' /91, _ t 14
No. Street Lot Block Tract City
Proposed location 2'SS .2'��'I'j �
No. Street Lot Bloc Tract Cit
Site location on new lot
Route on which building is to be moved//J 11-?AF4 1Y4.P1014, To A�L'x
P c1#1161AeE L�4y /(/F.QR/Fr`-5 To A4,er6W1,PE 6dAV
Tax certificate filed Ownership certificate filed Fee Deposited
Other information