NO PERMIT NUMBER City of Cupertino
• � � / 10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF FAX: (408)777-3333
CUPEkTINO
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: March 28, 2007
RE: Address Change APN #359-22-061
Please note the following address change: 10752 S Stelling Rd. has been divided into
two (2) parcels. Parcel one (1) will be 20925 Jollyman Lane and parcel two (2) will be
20915 Jollyman Lane (See attached parcel map). Please update your records
accordingly.
The new addresses 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
Printed on Recycled Paper .
Community Development Department
City of Cupertino
10300 Torre Avenue
. Telephone: (408) 777-3228
Fax: (408) 777-3333
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME (please print): LTJJ 1PEP.TI No J 1oT � S LLC
TELEPHONE NUMBER: `IZZ- 996— 2291
APN (assessors parcel #): 3 S 9 —Z2 — 6O 3s9 —Z2— 0 6
EXISTING ADDRESS: ICS-151 — l0`)Sg -r- -&4`1 IsrtG4s,l;"a CA-IE 1 ti Lo�- 1
NEW ADDRESS REQUESTED: 2`925 1311 jr^cr � Cine-,I,." CFS —o{Soly
NEW SUITE NUMBERS REQUESTED:
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. Suite numbers must be NUMERIC.
5. The change of address will not result in a public safety hazard.
6. PROOF OF OWNERSHIP IS REQUIRED. (property tax bill)
The fee for a change of address/addition of suite numbers 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/addition of suite numbers 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. od)Lkl 10-4
gnature Date
Community Development Department
City of Cupertino
10300 Torre Avenue
• Telephone: (408) 777-3228
Fax: (408) 777-3333
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME (please print): C:l FC—P-TINa Hz, 'A S L1—C
TELEPHONE NUMBER: L-MR—qjt—
APN (assessors parcel #):
EXISTING ADDRESS: f,.
NEW ADDRESS REQUESTED: Znc� IS 1jrn
NEW SUITE NUMBERS REQUESTED:
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. a
4. Suite numbers must be NUMERIC.
5. The change of address will not result in a public safety hazard.
6. PROOF OF OWNERSHIP IS REQUIRED. (property tax bill)
The fee for a change of address/addition of suite numbers 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/addition of suite numbers 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.
410T
tgnature Date
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