ADDRESS LETTER• a-(1VCITY OF
CUPEI�TINO
•
•
0300 Torre Avenue
Cupertino, CA 95014
Building Division
(408) 777-3333 (fax)
CITY OF CUPERTINO
OFFICIAL NOTIFICATION OF CHANGE
OF ADDRESS
TO: All Agencies
FROM: City of Cupertino
DATE: September 18, 2003
APN: 356-01-036
EXISTING ADDRESS: 10895 Miramonte Road
NEW ADDRESS: 10885 Miramonte Road
Please make note of the change of address for this APN. The new address
will be in effect immediately.
CITY OF CUPERTINO
Christy Akatiff, Administrative Clerk
Printed on Recycled Paper
NAME (please print):
TELEPHONE NUMBER:
Community Development Department
City of Cupertino
10300 Torre Avenue
Telephone: (408) 777-3228
Fax: (408) 777-3333
CHANGE OF ADDRESS
, REQUEST FORM
d2) Z�7-
APN: 3 � l!n ` 0 / - 00&
EXISTING ADDRESS:
NEW ADDRESS REQU
Request for address change will be approved only if the change meets the following
criteria:
• 1. The change of address will not create confusion. Please attach a written account
outlining why the change will not cause confusion.
0
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 and PICTURE ID ARE REQUIRED. r` v 01
lwo
The fee for a change of address request i(1245.00) UThe fee is due with this
request form and will not be refunded if t;: e request is denied. 9//qoj
The direct costs associated with an address request change will be borne by the
applicant. Approximate review time is fifteen (15) days. If the address change is
gmRted, the new address will be in effect thirty (30) days following approval.
Signature
Revised 10/16/02
Printed on Recycled Paper
41(Z-L�
Date