122APPLICATION FOR HOUSE MOVING PERMIT
ESIEP
OIrL , OF CUPERTINO
6 9963 ! �IW�j� f{
Date , 195— Permit No. //,��')
CITY OF CUPERTWC' Fee $�t/ ` C
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 NoJ'� of the City of Cupertino.
Owner 34-9 ` io—r�
I
Approved �' /
1 BUILDING INSPECTOR
CONTRACTOR, AGENT'
a i �f
Building contstructed of tiVL.(.t C�Gd No. of Rooms
MATERIALS Width/
Height
Condition of exterior-��1"W—
Condition of interior_
Present locatio •�-6
No.
I
Proposed location
No.
Route on which building is to be
�-e(✓
Lot Block Tract 'City
V270Y
�j Bl
ock TractCityf
/G7i
Tax certificate filed Ownership
Other information— //— 43