36 APg ICATION�F`OR HOUSE MOVING PERMIT
V ® L& C�I�TY OF CUPERTINO
'.r(SEP 151930
Date 195— Permit No.
CITY OF CUPERTINO Fee$ gp
Application is hereby made to the City of Cupertino for a permit to move the building
r� 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.
Owne,—,gAJ
v B Approv
CONTRACTOR, AAGGENT/��/ BUILDING INSPECTOR
�s Phon . ._/� ..
Building contstructed of 26:2c�— No. of RoomsT
MATERIALS Width_
Height_
Condition of exterior - -
Condition of interior
Present locatio
�No. �lStreet Lot Block Tract city
Proposed location e g9
No. Street Lot Block Tract y
Site location on new lot
N Route on which building is to be moved _
C47
Tax.certificate filed Ownership certificate filed Fee DeposOd—
Other
information