NO PERMIT NUMBER Building Division
�._ 10300 Torre Avenue
• y�I ILlN\iz,1 Cupertino95014
h...., Telephone(408))777-3228
CITY OF Fax(408) 777-3333
CUPEkTINO
CITY OF CUPERTINO
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: March 13, 2006
RE: APN: 316 09 030
CITY OF CUPERTINO
•
A commercial building now exists on this parcel. The building will be divided into two
spaces. The existing address will be retained and additional address will be assigned.
The addresses for the building will be:
18922 Forge Dr.
18920 Forge DR
The new address will be in effect (30) days from date of this notice.
City of Cupertino, CA
Charles Chevalier, Building Inspector
Signature Date
•
Cit.v ol*
Cupertino
CHAtNGE OF ADDRESS
/ REQUEST FORM
NAME (please print): Sh���ti Ai�4 -/
TELEPHON7E NUMBER: low — S ZT' — (?/O Q
APN: ; –�O—o
EXISTL IG ADDRESS: /0 7 Z Z EP� �`–
NEW ADDRESS REQUESTED: c72--2—
Requests for reassignment of addresses will be approved if consistent with the following criteria:
• 1. The change of address will not create confusion.
2. Only the last digit will be considered.
3. The oddleven addressing system will be maintained.
4. The change in address will not result in a public safety problem.
5. Proof of ownership and picture identification is required.
f
The fee for change of address is 5126.00 The fee is due with this request form and will not be
refunded if request is denied.
The direct costs associated with a request to change address will be bome by ,the applicant.
;approximate review time is fifteen (15) days. If change of address is granted, the new address will
be in effect thirty days following.
Signature Date
•
win/addreq
Please review the attached drawing� We need two separate addresses for
kour two separate tenants. Thank you.
FORGE D IVE
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I8922 FORGE DR.,CIJITI( (NOXA 18920 Forge Dr. , Cupertino, Ca