CHANGE OF ADDRESSCITY OF
CUPEkTINO
11
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: July 08, 2005
RE: Address Change (APN #357-20-042)
Please note the following address change: 2 Results way has added the following suite
numbers: Suite # 100, 110, 120,150, 200, 210, 220, 250. 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
Printed on Recycled Paper
CITY OF CUPERTINO
of 1 MISCELLANEOUS RECEIPT
RECEIPT #
: 29546
PRINT DATE :
05/03/2005
--------
ZADDCHG
--------
268.00
PRINT TIME :
13:47:56
RECEIPT DATE
: 05/03/2005
OPERATOR :
counter
COPY # :
1
RECEIVED BY
counter
CASH DRAWER:
BS1
REC'D. FROM
RWC LLC OPERATING
USER 1
USER 2
NOTES : ADDRESS CHANGE -ADD SUITE #S 2 RESULTS WAY
FEE ID
AMOUNT
THIS RCPT
BALANCE
--------
ZADDCHG
--------
268.00
---------
268.00
--------
--------
0.00
--------
TOTALS:
--------
--------
268.00
--------
268.00
--------
0.00
METHOD OF PAYMENT AMOUNT NUMBER
-------- ------------ ------------------
C �K 268.00 003474
TOTAL RECEIPT 268.00
n
11
RPR -6-2005 02:03P FROM:
NAME (please print):
TELEPHONE NUMBER:
EXISTING ADDRESS:
4089960851 TO:16505228692 P.1
Community Development Department
City of Cupertino
10300 Torre Avenue qui G t `t
Telephone: (408) 777.3228
Fax: (408) 777-3333
CHANGE OF ADDRESS
REQUEST FORM
G
RFC;F;IVFD
2005
BY:
NEW ADDRESS REQUESTED: - � /_,
/ 50� C�� ao d� ago , a a o o
Request for address change will be approved only if the change meets 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 of address will not result in a public safety hazard.
5. PROOF OF OWNERSHIP IS REQUIRED. (Ex. property tax bill)
The fee for a change of 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 an address change request 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.
. Signature Date
Revised 10/16/02
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ee 1 of 1
RECEIPT # 29546
RECEIPT DATE 05/03/2005
CITY OF CUPERTINO
MISCELLANEOUS RECEIPT
PRINT DATE
05/03/2005
PRINT TIME
13:48:09
OPERATOR
counter
COPY #
2
RECEIVED BY • counter CASH DRAWER: 3S1
RECD. FROM RWC LLC OPERATING
USER 1
USER 2
NOTES : ADDRESS CHANGE -ADD SUITE #S 2 RESULTS WAY
FEE ID AMOUNT THIS RCPT BALANCE
ZADDCHG 268.00 268.00 0.00
__------ -------- --------
TOTALS: 268.00 268.00 0.00
METHOD OF PAYMENT AMOUNT NUMBER
-------------------------------------
A CK 268.00 003474
------------
TOTAL RECEIPT 268.00
LI