Change of Address aev
City of Cupertino
• -10300 Torre Avenue
Cupertino,CA 95014-3255
CITY OF Telephone: (408)777-3228
CU P E IST I N O FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: February 16, 2006
RE: Address Change (APN #357-17-059)
• Please note the following address change: 10038 Orange Ave has been divided into 3
units. 10038 Orange Ave will remain. 10036 & 10040 Orange Ave have been added.
Please update 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
Community Development Department
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
NEW ADDRESS
ASSIGNMENT FORM
DATE:
NAME (please print): �fl GKI 4 P\GI'1c(q Yi n
TELEPHONE NUMBER: 'S-S�S7
APN: 35 7 12-51
NEW ADDRESS:
• The new address will be assigned using the following criteria:
1. The new address will not create confusion.
2. The odd/even addressing system will be maintained.
3. The new address will not result in a public safety hazard.
4. PROOF OF OWNERSHIP IS REQUIRED. (Ex. property tax bill)
The new address will be in effect thirty (30) days following assignment.
C
Signature
•
Revised 10/16/02
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