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NO PERMIT NUMBER Community Development Department City of Cupertino C �110300 Torre Avenue Telephone: (408)777-3228 Fax: (408)777-3333 CITY OF CUPEQ INO CHANGE OF ADDRESSRSC-�TVED REQUEST FORM JUN 1 1 2004 NAME (please print): v. r 1ttuy- :2-->0-V TELEPHONE NUMBER: GPog 666 Ce/ 2 APN: 3 s — z z - o.� 3. EXISTING ADDRESS: ]S —7��°��' '' I fir �D • GG i�P/1" l� p- NEW ADDRESS REQUESTED: ! Request for address change will be approved only if the change meets the following criteria: 1. The change of address will not create confusion. 2. Only the LAST DIGIT will be considered. 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 IS REQUIRED. (Ex. property tax bill) The fee for a change of address request is $245.00. The fee is due with this request form and will not be refunded if the request is denied. The direct costs associated with an address change request 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. • Signature Date Revised 10/16/02 Printed on Recycled Paper I ' RECORDING REQUESTED BY DOCUMENT: 17694715 Pages 2 C-UTQaQO TITLE COMPANY q� AND WHEN RECORDED MAIL TO Fees. . . . 10. 0 Taxes. . . 1029.660 FXUDONG DOING AND XIA MA Copies. . 7584 Bollinger Road AMT PAID 1039.60 Cupertino, California 95014 BRENDA DAVIS RDE ff 008 SANTA CLARA COUNTY RECORDER 4/02/2004 Recorded at the request of 8:00 AM Chicago Title L Escrow No. 100717 - YO order No 100717 - VW SPACE A9ovE TMa UNE FOR RECORDERS USE GRANT DEED Assessor's 59 s22 8053 cel No: THE UNDERSIGNED GRANCOR(S)DF-CIARE(S).. _ - --- - -- DOCUMENTARY TRANSFERTAX IS Co $1,029.60 No City Declarant/y l- --�._. /4-- ❑ uninmrporeted area ® Cityof Cupertino © computed on the fun value of the interest or property conveyed,or is ❑ computed on the fun value leu the value of liens or eammbraam temniningat time of sale,and FOR A VALUABLE CONSIDERATION,receipt of which is hereby acknowledged, Yaw wen Hu and Allison Hu, Husband and Wife, in Joint Tenancy hereby GRANT(S) to �\ XUDONG DONG AND XIA MA, HUSBAND AND WIFE AS JOINT TENANTS the following described real property in the city of Cupertino County of SANTA CLARA ,State of California LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF BY REFERENCE Dated March 24, 2004 STATEOF CALIFORNIA COUNTY OF Santa Clara ) SS On March 25, 2004 before TB• Y w Wen it, Aranyanee Olsen e Notary Public in and for Said County and State,personalty appeared Yaw Wen Hu and Allison Hu Allison Hu personalty known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Is/ere subscribed to the within instrument and acknowledged to me that he/she/they executed the AflANYANEE Oall Same in his/her/their authorized capacigGes),and that by his/her/their Comm.!1295723 si nature n on the insvumert the 1Q uormr walc uurassa N 9 () person(s),cr the amity upon behalf of nSAur our Cemrr which the n(s) exeartad the instrument. ur rw.I=Rar 1MTNES�tl seal. i • Signp5pre of Notary Dam miasmn vas FOR NOTARY SEAL OR STAMP MAIL TAX STATMENTS TO PARTY SHOWN ON FOLLOWING UNE IF NO PANTY SO SHOWN. MAIL AS DIRECTED ABOVE Name Street Address City,State 8 Zip DD1 -0e13e/91 CITY OF CUPERTINO Page 1 of 1 MISCELLANEOUS RECEIPT RECEIPT # 25865 PRINT DATE : 06/11/2004 PRINT TIME : 14 : 19 : 24 RECEIPT DATE 06/11/2004 OPERATOR : conniew COPY # : 3 RECEIVED BY conniew CASH DRAWER: BS1 RECD. FROM ARTHUR DONG USER 1 USER 2 NOTES : CHANGE OF ADDRESS FOR 7584 BOLLINGER RD. TO #7588 FEE ID AMOUNT THIS RCPT BALANCE -------- ------- - ---- - ---- - - ------ ZADDCHG 245 . 00 245 . 00 0 . 00 -------- -------- -------- -------- -------- -------- TOTALS : 245 . 00 245 . 00 0 . 00 METHOD OF PAYMENT AMOUNT NUMBER ------- - - - ------- ---- - ------- ------- ----------- JER 245_00 M/C TuTAL RECEIPT 245 . 00 • I _ _ _ W1 LANE-- �-- 1 7614 76ro 7604 TRACT N9? 2335586 7512 7570 757r 7566 756Z^ n56 cD. 60.20 60.20 6020 61420 60.20 6020 60.2D 60.20 � 60.20 1 6030 I 60.20 12543 Z411 W2^ 1�� = 1�0� i i i 1 j i • 30 f-07 /7 ,[B /9 20 ; 2/ i 22 23 24 25 1 26 gj 2B 29 A W 21 o wf 1 o cr- 37 36 i 39 1 40 41 ij 42 43 44 45 46 �it�47 i 48 49 FM 55 ••1---•1�.•��... 'I ..- 6r.ii•t�o:ii ' SO:ii—w:ii '1 [0:5858 er.0 .l.lo _ Q -: ,.ate[ i, 1 1 2 3 1 4 1 5 1 6 $j •SC� REGNART CREEK 9 1 G 1.84 AC. I =j SI ei j I PCI.A` .sil al 1 ➢454—_ lE 21 43 '� .I 4/ «I 49 el 59 Pci ev 23 ,58 2 '6 .ase 1 6e.�a 46' d1 WESTLYN-UN. N°- 1 A 7655 TRAC 177 6A41 19 i f �5f3..Y TRACT N"- 2167. )1 e t4—_— BQLLINGER N` 55882P.M. 390:M-41 7165 — 7667 57 3 1:0 rt ROAD--- »_n _ w 47 / 63.,7. t. _ 4.92 5`6 4 ,. 8 52 ., 4d � ��� t 68 _T_9F__ 4 $ w - 1 0 > a 46P 1 2 p 6 i '•t,. �[ \ Z n 62.26 e / 3024 el 54 5/ � ^'4 7/ .3 W 50 60.01 s - - — 5 / 4 \ 3 17;.02 T 8 . TRACT N° 7213 P M.583-M -21 W "I � N 01 366 4164 VT �C/4L •