ADDRESS CHANGE City of Cupertino
w10300 Torre Avenue
CITY OF Cupertino,CA 95014-3255
Telephone: (408)777-3228
CU P E IST I N O FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: December 19, 2003
RE: Address Change (APN #326-33-079)
Please note the following address change: 10381 Bandley Drive has been divided into
two units. 10381 Bandley will remain the same. The new uniC6as been assigned 10385
Bandley Drive. Please change your records•accbrdingly.
The new address will take effect immediately. If you have any questions, please call me
at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative clerk
Printed on Recycled Paper
P.
Community Development Department
City of Cupertino
10300'Torre Avenue
• ` OTelephone: (408)777-3228
Fax: (408)777-3333
CITY OF
CJPERT]NO
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): w)' C / F,55No\LD
TELEPHONE NUMBER: J 7:�- o3.3 0
APN: 326 - 33` 07q - nO
EXISTING ADDRESS: /o36/ Y 47—' 64 KP -lFfiSD --
NEW ADDRESS REQUESTED: �v�BS BDY D7Z• 6�0 .TFft-3—)
Request for address change will be approved only if the change meets the following
criteria:
• 1. The change of address will not create confusion. Please attach a written account
outlining why the change will not cause confusion. 'gJS /5 A left
0011-71149 /"o dA` `77� Fel Rmtc�`� NFf!> 7 AfJD 55 F42 7
2. Only the LAST DIGIT will be considered. /�rrrc�s oP r��FFir r 7Ed�/+ev�S ,
3. The odd/even addressing system will be maintained.
4. The change of address will not result in a public safety hazard.
5. PROOF OF OWNERSHIP and PICTURE ID ARE REQUIRED.
The fee for a change of address request is $245.00. The fee is due with this
request is denied. .
refunded if the re
request form and w111 not be q
The direct costs associated with an address request change will be borne by the
applicant. Approximate review time is fifteen(15) days. If the address change is
granted, the new address will be in effect thirty (30) days following approval.
47. signatureDate
Revised 10/16/02
pAnled on Recys!ed papar
CITY OF CUPERTINO
to 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 24083 PRINT DATE 12/18/2003
PRINT TIME 10 : 18 : 48
RECEIPT DATE 12/18/2003 OPERATOR counter
COPY # 1
RECEIVED BY counter CASH DRAWER: BS1
REC 'D. FROM : RYON COMMERCIAL
USER 1
USER 2
NOTES
FEE ID AMOUNT THIS„ RCPT BALANCE
ZADDCHG 245 . 00 245 . 00 0 . 00
-------- -------- --------
-------- -------- --------
TOTALS : 245 . 00 245 . 00 0 . 00
MHOD OF PAYMENT AMOUNT NUMBER
- - - - ------- ------- -----------
C1nCK 245 . 00 3549
TOTAL RECEIPT 245 . 00
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