167 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Date - 8 I966� Permit No.
Application is hereby made to the.City of Cupertino fora permitto 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.
Owner4"&eV �l/
B 7 - Approved
v; CONTRACTOR, AGE BUILDING INSPECTOR.
Phone ..._�_-.3. 07 `yam
Building contstructed of�ll�`� /�' z-0 No. of Rooms-o t
MATERIALS Width 2r P >< 6?
Height_
Condition of exterior f�
Condition of interior
Present location �2
No. Street Lot
���Block , /jJ,(Tact C
Proposed location �y1 r��L�-"-'I�—"T"
No. Street Lot Block Tract 'city
Site location on new lot
Route on which building is to be moveedd�/�il��w�t�fi/)�Z�.��.ii-.�-�p
Tax certificate filed Ownership certificate filed Pee Deposited
Other information