165 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Date .2 g 1;L� Permit No. /
Fee $4
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.
J Ownerp� p
By U LGr d dt • Zee, An
r CONTRACTOR, ENT UILDING INSPECTOR
phone4�...�./.... S
Building contstructed of/.0 aA,74—,4, " V LL6aoa.f . No. of Rooms e x.
MATERIALS Width-,26?-A-, -2-
Condition
/) Height
Condition of exterior �k�:f
,�a-aY _
Condition of interior
Present location s ti
No. Street Lot y,Block -QTract City
Proposed location '�/ yy/ � "� �v � I
No. _ Street Lot Block Tract City
Site location on new lot
O ,9
Route on which building is to be moved y
Tax certificate filed Ownership certificate filed Fee Deposited
Other information