168 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Date Permit No. �j
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 i�na ce No. of the City of Cupertino.
y
Owne
By Approved
v
ro
� CONTRACTOR, AGENT BUILDING INSPECTOR
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phone ..-- ---...-----.......----.--�------
Building contstructed ofZ i-tf �iGCt�vr.9 416t-t- • No. of Ro-'0-5ft-e
MATERIALS Width_3py,5�-
Height_ly
Condition of exterior•
Condition of interior
Present location ?O
No. Street / Lot Block Tract Cit
Proposed locatio
No. Street Lot Block Tract City
Site location on new lot
Route on which b/uii_lldinng is to
-be,tnove , - '/�, u/O 7
Ile
Tax certificate filed Ownership certificate filed Pee Deposited—
Other
eposited Other information