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Building Department
CITY OF CUPERTINO
CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
TELEPHONE: (408) 777-3228 • FAX: (408) 777-3333
OFFICIAL NOTIFICATION OF NEW/ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: May 06, 2010
RE: New/Change of Address APN #357-20-041
Please note the following suite number additions: 6 results way is adding suite numbers
100,150, 200, and 250. See attached map.
The new suite numbers will take effect 30 days from the date of this letter. If you have
any questions, please call me at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative Clerk
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1st Floor Plan
Suite Numbers Requested
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Suite Numbers Requested
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C A P ITA 1, PARTNERS 1, 1, C
Apr 2e 2010 3104PM CITY OF CUPERTINO
CUPERTINO
RECEIVED 04/22/2010 04:30
Building Department
406 777 7606
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CITY OF CU?MrrWO
10300 TORRE AVENUE • CUPERTINO, CA 9504-3255
TELEFHONE: (408) 777-3218 • FAX: (408) 777-3333
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME (please print): B I a1'��'e71 R4:,,V1Y xy 7, T ro i e gi ti f2 r- V r
,� t/
TELEPHONE NUMBER: ' 2r9 2— ' —{ 0 —r
AFN (assessors pamel #): 57 • a d- o y
EXISTING ADDRESS:
NEW ADDRESS REQUESTED:
NEW SUITE NUMBERSREQUP.STED: loo., `So i ZOo iZ5D
Request for address change will be approved only if the ebaoge moote the following criteria:
1. The change of address will not create oonfiuion.
2. Only the LAST DIGIT will be considered, .
3. The odd/oven addressing system will be maintained.
(4 Suite numbers must be NtNWRiC,
5. The change of address will not result in a public eatery hazard.
PROOF OF OWNERSEUP IS REQUIRED. (property tax bill)
The fee for a change of address/addition of suite numbers request i 317.0 (per
hour). The fee is due with this request form and will not be refund the
request Is denied.
The direct costs associated with an address ehangdaddition of suite numbers request will be borne by the applicant
Approximate r5etar thug is 5acen (17) days. 1£ tba.address change is granted, the new address will be in effect thirty
(30) da val.
taro/ Date
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RECEIVED BY: PATRICIAG
TODAY'S DATE: 05/05/10
TIME: 11:28
1
ADDRESS CHANGE
CHECK
CITY OF CUPERTINO
RECEIPT NUMBER: SS000010327
PAYOR: EMBARCADERO RLTY
REGISTER DATE: 05/05/10
6 RSLTS- 100,150,200,250 $317.00
----------------
TOTAL DUE: $317.00
$317.00 REF NUM: #008048
TENDERED CHANGE
$317.00 $.00