NO PERMIT NUMBER 10300 Torre Avenue
City of Cupertino,CA 95014
%upertino Building Division
(408)777-3228
(408)777-3333 (fax)
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
CITY OF CUPERTINO
To: All Agencies and Developmental contacts
From: Building Department, City of Cupertino
Subject: APN 316-23-068
Date: August 14. 1997
A request has been made to change the following address:
Old address: 10104 Randy Lane
New address: 10108 Randy Lane
Please see attached drawing for clarification.
CITY OF CUPERTINO
Christy Akatiff, Administrative Clerk
mailed to agencies 08/14/97
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OFFICE OF COUNTY ASSESSOR, SANTA CLARA COUNTY, CALIFORNIA
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&Citvor
uperUno
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): uvij f-t 1
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TELEPHONE NUMBER: L4- Z.rj Z -W71
APN: 3/4 - D3- Oeog
EXISTING ADDRESS:101 04- LAA/Py Lt�Ne, CUrc-e AJO C,A�
NEW ADDRESS REQUESTED:�Iog& .. P.' ((i �QJ]iWYIF , (./� q�0/�
Requests for reassignment of addresses will be approved if consistent with 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. The change in address will not result in a public safety problem.
5. Proof of ownership and picture identification is required.
The fee for change of address is $126.00 The fee is due with this request form and will not be
refunded if request is denied.
The direct costs associated with a request to change address will be borne by the applicant.
Approximate review time is fifteen (15)days. If change of address is granted, the new address will
be in effect thirty days following.
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