44 C�1 APPLICATIQN FOR HOUSE MQVING PERMIT
CITY OF CUPERTINO
Date - `ZS/ 190 , Permit No.
(� Fee —
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 the In
Ci of upertino.
,r
i •c) Owner / I C K, iq Z/ p
a
m
BY Appro
to CONTRIA OR, ENT BUILDING'INSPECTOR
Phone Ld Z-2 x.3 3 :t
Building contstructed of 00 No. of Rooms_
MATERIALS Width � r
I , •Height r
Condition of exterior-----C—A_I 2
Condition of interior
Present location of �Qk� ►CC7 I�tJ - LLCvO
No. Street Lot Block Tract City{�
Proposed location 214 Ac-iwQ M I Y 1 Q,', ,
I'lo. �Street p Lo f Block Tract p�City
Site location on new lot
Route whiTtuilding is to behoved/ r . fK'
–05 e166t.�q_ i o I^2,2MotS-7"T7–TA2UMA+3 6 Z2yAW17.
Tax certificate filed Ownership certificate filed Fee Deposited
Other information
I
HOUSE MOVL G APPROVAL?,.
PUBLIC-UTILITIES APPLICATION
HOUSE MOVER �el. .K1� -�� _ ADDRESS-: 5/9 51 �
TELEPHONE: STATE 'LIC. # _
PROPOSED ` STY IDNG FO 7f'�VE
• t '1Z .casu•'
VTNAT. LOCATION A ack a ROUTE TO BE FOT,LOWED: rt Q_c , y�+i 21
o .
BUILDING: HEIGHT: APPROVAL: P.G.E. DATE
WIDTH: , �p P.T.&T0 'LDATE��DO
LENCITH: 3�0 .�. BIM, DEPT' DATE
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