NO PERMIT NUMBER �1 City of Cupertino
• � a 10300 Torre Avenue
Cupertino,CA 95014-3255
CIS OF
C U P E IST I N O Telephone: (408)777-3228
PAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: August 21, 2003
• RE: Address Change (APN #369-25-006)
Please note the following address change: 10544 Rampart Avenue has been changed to
10548 Rampart Avenue. 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
Community Development Department
City of Cupertino
, Q 10300 Torre Avenue
• If r`1 Telephone: (408)777-3228
- Fax: (408)777-3333
CITY OF
CUPEkTINO
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): l/( oSC R0.bt c A fl ' H LE?
TELEPHONE NUMBER: 94- 3661 17 3
APN: 3(O� - a5-006
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EXISTING ADDRESS: /off v U` �� 6��
NEW ADDRESS REQUESTED: �U g f�[,tl ca4:�;tt,,�
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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. -4A-9, ova
2. Only the LAST DIGIT will be considered. J
3. The odd/even addressing system will be maintained.
4. The change of address will not result in a public safety hazard. - y
5. PROOF OF OWNERSHIP and PICTURE ID ARE REQUIRED.
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 request change 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.
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• Signature Dat
Revised 10/16/02
Printed on Recycled Paper
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CITY OF CUPERTINO
P• 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 22860 PRINT DATE 08/20/2003
PRINT TIME 17 : 14 : 33
RECEIPT DATE 08/20/2003 OPERATOR counter
COPY # 1
RECEIVED BY counter CASH DRAWER: BS1
RECD. FROM ROSE FISHLER '
USER 1
USER 2
NOTES ADDRESS CHANGE
FEE ID AMOUNT THIS, RCPT BALANCE
---- -- ----- - - - --- - -----
ZADDCHG 245 . 00 245 . 00 0 . 00
-------- -------- --------
TOTALS : 245 . 00 245 . 00 0 . 00
M' '3OD OF PAYMENT AMOUNT NUMBER
-0-- - - - - - - - ----- - --;----- ---------
CHECK 245 . 00 1361
TOTAL RECEIPT 245 . 00
i
�RDING REQUESTED BY DOCUMENT: 14351891 Titles I / Pages 3
D/ x an LGuaranty
Company IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 13.00 o. OS2Txes.. ow 9D 1111 1111111 Copies. .
0014351891. AMT PA I D 13.00
WHEN RECORDED MAIL TO:
BRENDA DAVIS RDE a 102
ROSE MODICA FISHLER SANTA CLARA COUNTY RECORDER 8/25/1998
10544 RAMPART AVENUE Recorded at the request of 8:00 AM
CUPERTINO,'CA 95014 First American Title Company
SPACE ABOVE THIS LINE FOR RECORDER's USE
MAIL TAX STATEMENTS TO: The undersigned grantor(s) declare(s):
CITY TRANSFER TAX $
DOCUMENTARY TRANSFER TAX$
SAME AS ABOVE i SURVEY MONUMENT FEE $
. Computed on the consideration or value of property conveyed;OR
Computed on the consideration or value less liens or encumbrances
remaining at time of sale.
Is exempt from Imposition of the Documentary Transfer Tax pursuant to
Revenue and Taxation Code 11927(a),on transferring community,quasi-
community,or quasi-marital property,assets between spouses,pursuant
to a judgment, an order, or a written agreement between spouses in
contemplation of any such judgment or order.
APN 369-25-006
INTERSPOUSAL TRANSFER GRANT DEED
• (Excluded from reappraisal under California Constitution Article 13 A Section 1 et seq.)
This is an Interspousal Transfer and not a change in ownership under Section 63 of the Revenue and Taxation Code and Grantor(s)
has (have) checked the applicable exclusion from reappraisal:
A transfer to a trustee for the beneficial use of a spouse,or the surviving spouse of a deceased transferor,or by a trustee of such
a trust to the spouse of the trustor.
A transfer to a spouse or former spouse in connection with a property settlement agreement or decree of dissolution of a marriage
or legal separation.
A creation, transfer, or termination, solely between spouses, of any co-owner's interest.
The distribution of a legal entity's property to a spouse or former spouse in exchange for the interest of such spouse in the legal
entity in connection with a property settlement agreement or a decree of dissolution of a marriage or legal separation.
Other:
•
SPOUSALDOC Rev rvee) MAIL TAX STA7I@Ig1"T-PdjS23HOWN ABOVE INITIAL L•