NO PERMIT NUMBER City of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
CITY OF Telephone: (408)777-3228
CUPEkTINO FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: June 07, 2004
RE: Address Change (APN #375-16-018)
• Please note the following address change: 10310 Menhart Lane is changing its address
to 10285 Wunderlich Drive. Please change 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,
Susan Winslow
Administrative clerk
Printed on Recycled Paper
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•
CITY OF CUPERTINO
I�e 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # : 25620 PRINT DATE : 05/25/2004
PRINT TIME : 14 : 02 : 05
RECEIPT DATE : 05/25/2004 OPERATOR : counter
COPY # : 4
RECEIVED BY counter CASH DRAWER: BS1
REC D. FROM BRAiNDENBURG INVST
USER 1
USER 2
NOTES : ADDRESS CHANGE-FROM 10310 MENHART TO 10285 WUNDERLICH
FEE ID AMOUNT THIS RCPT BALANCE
-- - - - - -- --- - ----- --------
ZADDCHG 245 . 00 245 . 00 0 . 00
___----- -------- --------
TOTALS : 245 . 00 245 . 00 0 . 00
MWOD OF PAYMENT AMOUNT NUMBER
MW--- - - --- --- -- - --- ---------------
CHECK 245 . 00 1033
TOTAL RECEIPT 245 . 00
M
/ Community Development Department
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
CITY OF
CUPEkTINO
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): J tMA1CLE-nbPtl
TELEPHONE NUMBER: I/D8'—�o.?�'5MI
APN: ( 375—leol--0/�-420
EXISTING ADDRESS: /0310 /226�0)?ar k . a4lo C�o� irlc�
NEW ADDRESS REQUESTED: 10 Z;K5 GylGl'I / r/i Gh
Request for address change will be ap proved only if the change Meets the fpllowing
criteria: , Due ,b mg`��or��//�/9i Y'��nk of ;yam I04W /7
nmO1 cam, WicncT� y'� Gseepwm%�). rh,ts incIL4 ion
•
1. The ch/awns
ange of address will not create contusion.
LoTv�-
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 l DatA
Genu Rhefn e--
Revised 10/16/02
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