NO PERMIT NUMBER Building Department
CITY OF CUPERTINO
CUPERTINO 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255
TELEPHONE:(408)777-3228 • FAX: (408)777-3333
OFFICIAL NOTIFICATION OF NEW/ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: January 25, 2010
RE: New Address APN#357-17-030
• Please note the following address change: 21672 Granada Ave is remaining for the
downstairs commercial unit and 21676 Granada is being added to the upstairs unit.
The new addresses will take effect immediately. If you have any questions, please call me
at (408) 777-3246.
Sincerely, ^��
Susan Winslow
Administrative Clerk
•
01/11/2010 17:42 FAX 408 777 3333 Q0001/0001
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Building Department
CITY OF CUPERMNO
C U P S RT I N O 10300 TORRE AvENUE • CUPERTINO,CA 95014-3255
TELEPHONE:(408)777-3228 • FAX: (408)777-3333 .
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME(please print): ullir�71I� G ��fi
TELEPHONE NUMBER: �/ /� 3 Cl3 J
APN(assessors parcel +
EMS11NO ADDRESS: C.?167o�C CTLQiY/llGl(C ( �O �nQ G1G7�6/r Td)
NEW ADDRESS REQUESTED: �?/J/L/1oA — I/�lTsfT�✓
• NEw surrE NUMBERS REQUESTED: _ --
Request for address change willbe approved only if the change meets the following criteria:
1. The change of address will not create confusion.
2. Only the LAST DIGrr will be considered.
3. The odd/even addressing system will be maintained.
4. Suite numbers must be NUMERIC.
5. The change of address will not result in a public safety hazard
6. PROOF OF OWNERSHIP IS REQUIRED. (property tax bill)
The fee for a change of address/addition of suite numbers request is $317.00 (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 an address change/addition of suite numbers request will be home 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. /
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