ADDRESS CHANGECITY OF
CUPEkTINO
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City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
FAX: (408) 777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: June 20, 2006
RE: Address Change (APN #359-10-060)
Please note the following address change: 10225 S. De Anza Blvd, Cupertino has been
divided into 2 units. 10225 S. De Anza will remain. The new unit will be 10227 S. De
Anza Blvd. (see attached map). Please update your records accordingly.
The new address will take effect thirty days from the date of this letter. If you have any
questions, please call me at (408) 777-3246.
Sincerely,
")Z��
Susan Winslow
Administrative clerk
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Cupertino
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CAmmunity Development Department
City of Cupertitto
10300 Torre Avenue
Telephone: (46$) 7777 32.28
Fax: (469) ; • 3333
CHANGE OF..,'DDRESS/ADD SUITE NUMBERS
REQUEST FORM
NA-ME.(please print): _ _ ✓ ���/ cSd P I iv
TELEPHONE NUMBER: _ /-/ DJ L/ 9 6 ^ Z g (C) (Z) —
APN (assessors parcel
E)aMNG ADDRESS: nQa _� J `S oeow?a - elo
NEW ADDRESS RE�-Y TED: _ Uao2c J
NEW SUITE NUMBERS REQU tiTED:
Request for address change will to approved only if the change m_1-eeetsstthe following
criteria: c5U6D/U/Z2rf! ✓"Oo?Q //)/a 02 0/71.
1. The change of address will n- t create confusion.
2. Only the LAST DIGrr will t : considered. /O c2,2�'7 <-- 0% 14),
3. The odd/ even addressing sy h!m will be maintained.
4.. Suite numbers must be NUM ERIC.
5. The change of address will ni t result in a public safety hazard.
6. PROOF OF OWNERSHIP I.' REQUIRED. (Ex. property tax bill)
The fee for a change of add e'ss/addition of suite numbers request is
$268.00. The fee is due wit] this request form and will not be refunded if
th quest is denied.
The direct costs associated with a i address change/addition of suite numbers request
will be borne by the applicant. , pproximate review time is fifteen (15) days. If the
address change is granted, the n :tv address will be in effect thirty (30) days following
approval �
Signature
1 1 O
ate
1 of 1
RECEIPT # : 34815
RECEIPT DATE : 06/13/2006
RECEIVED BY : amyw
RECD. FROM : MIKE VARDY
USER 1
USER 2
NOTES
CITY OF CUPERTINO
MISCELLANEOUS RECEIPT
FEE ID AMOUNT
----------------
ZADDCHG 268.00
TOTALS: 268.00
METHOD OF PAYMENT AMOUNT
----------------- ------------
CHECK 268.00
O*L RECEIPT 268.00
11
PRINT DATE
: 06/13/2006
PRINT TIME
: 08:39:20
OPERATOR
: amyw
COPY #
: 2
CASH DRAWER: BSI
THIS RCPT BALANCE
--------- --------
268.00 0.00
268.00 0.00
NUMBER
------------------
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