67APPLICATION FOR ROUSE MOVING PERMIT
CITY OF CUPERTINO
Date P5— Permit No.
f Fee $02
er�a�Rge-ity of Cupertino for a permit to move the building
describd,onithe reverse side hereof from amHo the specified location at the time and date
indicated in accordance with Ordnance No. of the Cityof Cupertino.
Owner Q- () JQs
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CONTRACTOR, AGENT
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Building contstructed of �0 c Q o — F i7 J nm L;; No. of Rooms--7—
MATERIALS
oomsMATERIALS Width 42 S
Height % R
Condition of exteriors sC
Condition of intteriocr�� Q'
Present loc�t4nL 3' "` a
No. Street Lot Block fact City
Proposed location 1 v ` p` I:A �- I Q (Ou� `
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No. Street Lot Block Tract
Site location on new lot
Route on which building is to be
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Tax certificate filed O,
er information :V `'1 +-_
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ertificate filed Fel 1)
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