ADDRESS CHANGE City of Cupertino
• 10300 Torre Avenue
Cupertino,CA 95014-3255
CITY OF Telephone: (408)777-3228
CU 'NOPEKT
. 17AX: (408)777-3333
l J r C 1 I BUILDING DEPARTMENT
r
OFFICIAL NOTIFICATION OF NEW ADDRESS ASSIGNMENT
TO: All Agencies
FROM: City of Cupertino
DATE: June 03, 2008
RE: Address assignment- APN #369-07-001
• Please note the following address assignment. 10121 Miller Avenue has added suite
number 205. Please update your records accordingly.
r
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
•
Printed on Recycled Paper
CITY OF CUPERTINO
RECEIPT NUMBER: BS000004940
• RECEIVED BY: SUEW PAYOR: HUNTER STORM
TODAY' S DATE: 05/29/08 REGISTER DATE: 05/29/08
TIME: 13 :44
1
ADDRESS CHANGE ADD STE #205 10121 MILLER $306 . 00
----------------
TOTAL DUE: $306 . 00
CHECK $306 . 00 REF NUM: 012589
TENDERED CHANGE '
$306 . 00 $ . 00
Mar 12 08 07:28a p.2
03-11-2006 10:11am From- T-730 P.002/002 F-776
community Development Department
City of Cupertino
103M Torm Aver=
Telephone: (408)777-3=
Fax (408)7ll-3W
CHANGE OF ADDRES D SUM NUMBERS
REQUEST
NAME(please print): 1 C
TELF2HONS 14UM15RR:
APN(assessors parcel#)1: - n 0!
S asnNG ADDRESS: _1 1 02 C m 1 E l e
NEW ADDRESS REQUSSMD:
NSW SUM N UMBERS nQUBSTED:
Request for address c1lange will be approved only if the change meets the following
• Criteria
1. The change of address will not create confusion.
2. Only the LAST DIGIT will be considered.
3. The odd/even addressing system will be maintained,
4. Suite nurnbers must be NLMfEICC.
5. The change of address will not result in a public safety hazard_
6_ PROOF OF OWNERSHIPIS REQUMED. (property tax bill)
The fee for a change of address/addition of suite numbers request is
$306.00 (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 bome by the applicant. Approximate review time is fifteen (15 days folf the
address change is granted, new addresswill be in effect thirty (30) dg
appy
Signature Date
- X57- o3S�