NO PERMIT NUMBER City of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
CITY OF Telephone: (408)777-3228
FAX: (408)777-3333
CUPEf�TINO
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: April 06, 2007
RE: Address Change APN #326-08-037
• Please note the following address change: 10612 Flora Vista Ave has added a 2nd unit.
The address for the 2nd unit is 10616 Flora Vista Ave, Cupertino, CA 95014. See the
attached map. Please update your records accordingly.
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
•
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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: 3 'z3 l
NAME (please print): k�- M ✓i S ��S�C
TELEPHONE N//UMBER:. t4d — 2o6- S?, '(,Wt) .
APN: > Z b - O f D '�7
NEW ADDRESS: f[01A VtSi A AJ 6 CLE-E�Z-t UQ0
Cuff.&t Ly [OL« Lo. � 2 u►.)us
• 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 $268.00. 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
RECEIPT NUMBER: BS000000773
• RECEIVED BY: SUEW PAYOR: RICHMOND INVESTMNTS
TODAY' S DATE: 03/23/07 REGISTER DATE: 03/23/07
TIME: 15 : 57
1
ADDRESS CHANGE 1 . 000 ® $268 .00 $268 . 00
----------------
TOTAL DUE: $268 . 00
CHECK $268 . 00 REF NUM: 836-ADDR FLORA VISTA
TENDERED CHANGE
$268 . 00 $ .00
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