50 APPLICATION FOR HOUSE MOVING PERMIT
CITY OF CUPERTINO
Date / ' r 19Permit No. '
Fee$ : (2—
Application
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.
Owner (�I S /
gy
Mj� Approved
J
i
CONTRACTOR, AGENT _4BUILDING S ECTOR
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Phone ---------------------------_.......... ..._ nTCs � I_
Building contstructed of !r`(, No. of Rooms
MATERIALS Width Z�
/� Height
Condition of exterior `Zt>D C1
Condition of interior DO(1' e"'1
Present location o Lb 6 V A 1,� - 1 C (N i,2 j
No.'' 11 \\ Street Lot Block Tact City
Proposed locatiot� ' N�P,G(f�(Zg fly
No. Street Lot Block Tract City
Site location on new lot �-M Q—
J Route on which building is to be moved
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1 b
Tax certificate filed Ownership certificate filed Fee Deposited
Other information