NO PERMIT NUMBER City of Cupertino
• fff...��� 10300 Torre Avenue
Cupertino,CA 95014-3255
CITY Of Telephone: (408)777-3228
CUPEkTINO FAX (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF NEW ADDRESS ASSIGNMENT
TO: All Agencies
FROM: City of Cupertino
DATE: April 30, 2008
RE: Address assignment- APN#359-18-032
Please note the following address assignment. 20545 Blossom Lane has added an
attached 2nd unit. The main house will remain 20545 Blosom Lane and the 2nd unit has
been assigned 20549 Blossom Lane. Please update your records accordingly. See the
attached map.
The new address will take effect 30 days from the date of this letter. If you have any
questions, please call me at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative clerk
Printed on Recycled Paper
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•
Community Development Department
City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
NEW ADDRESS
ASSIGNMENT FORM
DATE: ¢/Z
NAME (please print): GqqN�^�
TELEPHONE NUMBER: 4og"g/6 —267 E
APN: 3 ' ! C, L
NEW ADDRESS:
• The new address will be assigned using the following criteria:
1. The new address will not create confusion.
2. The odd/even addressing system will be maintained.
3. The new address will not result in a public safety hazard.
4. PROOF OF OWNERSHIP IS REQUIRED. (Ex. property tax bill)
The fee for processing a new address request is $306.00 (per hour). The fee is due
with this request form and will not be refunded if the request is denied.
The direct costs associated with a new address request will be borne by the
applicant. Approximate review time is fifteen (15) days. If the address is granted,
the new address will be in effect thirty (30) days following approval.
•
Signature
Revised 10/16/02
City of Cupertino
•
Freeways
Annotation
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http://glssvr/cupertinoassessor/home/mapF!le.aspx Monday, April 28, 2008 3:48 PM
CITY OF CUPERTINO
RECEIPT NUMBER: BS000004623
RECEIVED BY: SUEW PAYOR: THE E &. H THIRD FAM
TODAY' S DATE: 04/29/08 REGISTER DATE: 04/29/08
TIME: 16 :25
1
ADDRESS CHANGE NEW ADDR 20549 BLOSSOM LN $306. 00
----------------
TOTAL DUE: $306 . 00
CHECK $306. 00 REF NUM: 1899
TENDERED CHANGE
$306. 00 $. 00
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