CHANGE OF ADDRESS • ��� City of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
CITY OF Telephone: (408)777-3228
CU P E IST I NO FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF NEW ADDRESS ASSIGNMENT
TO: All Agencies
FROM: City of Cupertino
DATE: June 07, 2007
• RE: Address assignment
Please note the following address assignment. Parcel 316-31-011 19867 Pear Tree Lane
has added an address for their 2nd unit. The new address is 19862 Pear Tree Lane #2,
Cupertino, CA 95014. The main house remains 19862 Pear Tree Lane. Please update
your records accordingly.
The new address will take effect immediately. If you have any questions, please call
me at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative clerk
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Community Development Department
City of Cupertino
• 10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
NEW ADDRESS
ASSIGNMENT FORM
DATE: MM 4 , 2007
NAME (please print): YaA z
TELEPHONE NUMBER: 40� — 2016 — -) 9/9
APN: 316 - 31 - 01 1
NEW ADDRESS: M62-g 6z Pe- - Tr-0—a Lane , oZ , t^w�PXa~i4o G
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 fee for processing a new address request is $268.00. The fee is due with this
request form and will not be refunded if the request is denied.
The direct costs associated with a new address request will be borne by the
applicant. Approximate review time is fifteen (15) days. If the address is granted,
the new address will be in effect thirty (30) days following approval.
4
Signature
Revised 10/16/02
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