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Change of AddressCUPERTINO Building Department CITY OF CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014 -3255 TELEPHONE: (408) 777 -3228 • FAX: (408) 777 -3333 OFFICIAL NOTIFICATION OF ADDRESS CHANGE TO: All Agencies FROM: City of Cupertino DATE: October 21, 2010 RE: Address Change APN #375 -07 -046 Please note the following address change: 19050 Stevens Creek Blvd has been divided into two units. 19050 Stevens Creek Blvd will remain and the new unit will be 19052 Stevens Creek Blvd. Please update your records accordingly. See attached map. The new address will take-effect 30 days from the date of this letter. If you have any questions, please call me at (408) 777 -3246. Sincerely, /.cal_ Susan Winslow Administrative Clerk 1H i €€ 9 TANTAU. AVENUE EA 0 I� 0. o h \ V e / \ 0019 �' 0 -- ® -- T TI JUDY AVENUE N m m m O c m m D A O Z 0 A S 9 LOREE SHOPP[NG CENTER a,`�A a CONSTRUCTION F a e $ .,. Inc. x 70050 STEVENS CREEK BLVD, CUPERTINO, CA RECEIVED BY: SUEW TODAY'S DATE: 10 /11 /10 TIME: 16:26 1 ADDRESS CHANGE CHECK CITY OF CUPERTINO RECEIPT NUMBER: BS000011704 PAYOR: UNITED POLARIS REGISTER DATE: 10 /11 /10 NEW ADDR 19052 STV CRK $317.00 --------------- - TOTAL DUE: $317.00 $317.00 REF NUM: OLIVIA JANG TENDERED CHANGE $317.00 $.00 CUPERTINO Building Department CITY OF CUPERTINO 10300 TORRE AVENUE • CUPERTINO, CA 95014-3255 TELEPHONE: (408) 777 -3228 • FAX: (408) 777 -3333 CHANGE OF ADDRESS /ADD SUITE NUMBERS REQUEST FORM NAME (please print): TELEPHONE NUMBER: APN (assessor's parcel #): pLZVZA IAN E/ 4oe 391 37S- -0 7- 0 4-6 /YCV /" 4 EXISTING ADDRESS:. gvS O S��r� / L VO( , NEW ADDRESS REQUESTED: NEW SUITE NUMBERS REQUESTED: 90 S-0 8 1 PoS'z 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. A reduced -scale copy (81/2 x 11 or 11 x17) of a site plan which shows addresses on each side of the building site, along with the closest address across the street from the entrance of the building. If there are unit or suite numbers, show the layout of the units and have all unit /suite numbers on the site plan. 7. PROOF OF OWNERSHIP IS REQUIRED. (property tax bill) The fee for a change of address/ addition of suite numbers request is $317.00 (per hour). 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. L/ O /1 t /-,,, / D Sign an re Date OIO'CNN.pN V'r1 M.S O�?�1'OpMN00 M. fy omNNHONAAOA ir. O 1 OMOe•1 MHH�T000 Ifl'(N IDONOpeelA .• U • � 0000000'..1000 NVl,N r+N ANMpIN ,• �M.•I rIH N' �' p _ ti [� M M Uq 'W O. 'ie- O Q W' ... QZ F- cc W 'UEl4 -N N?7(ygI/�� Y ILO QdgF• xx -m=Yp MQIA o °w >Y m .MC. ZQ 4W00. YU1, 4n "'� O N C�, .. Wu .d Vim' KOOe Fw'I -UI. trUW M A Q2 1 JW' MSO ZJ'Wm '4M yQ, UJM 'O f0 d CJ :1140 1 J OUZOQF- C9 .JM \d'MC OMW1yQ ,.:j +fy, p e:V' 'W X >S MOm7�4.•Ifl W eK'OQmo >ci v 4 ;w arele '.. m' Ie .Z ((��zbrF wofleck: m cc a '= 1 -ZQf0w Wq SN 1'.J >UOJJWQQ. L:: 'q . W OOCe am-ie�WW' 4UZWH ILMILM W C EZmOZOWMFWeD IL W >rI U y N OWF+NOOJMQZ O\ 0ZggeOW 4 F EOCJ 0J04= g3H00'23ftmw 5' IL 'O fO MMUOMMNZ N >eLUM7 > =S M XH�ZOMUV) I q OUDUOO- UUO .31 EOCZmE UOUME MOW Wa Q O N10 0U0 oO AAa7 o.Nye F.000Jr0 yw, OppO • , .+U UU WSUI- IA(A 1-. 1,40 0 m(0100tOmF O. 'Ow .y m O J o 3 m n Q J I m ti 2 Q o.. ',o0 CDL O to D Y ZZ co V Q o;M WQ� c HW \ i.O r W UQ O Z 13 E M }a 'G . ffa//333 �• o w Z W v W A J ..•I If! .. Z W O Z W fn W ..'O OJ \ �e tQ a W< .o Z Q. C7 -x Q. Ni O LL g N. F 0 Z w H O N W a O 3,. C M . iw W 2,..,.. ?�, 42 A.. NAT A fY .y 3 O. MMp M O. 09 P-1 CLM ol IL d C WO: =Z H U. Clem 0 C3 p 7.= 4 rc ul g '...°o'er'.a Ln U W fn :M Ln eL'Y W Lu gn %ai,i :r Of W. :; pbvt (3 .� .' : O7 �T M M w W .. u1m N" ti Z W z' J 6 waOM m M v, ION. -I .I IL :e/1 a WN D.Q J O 00 .. +U . O coq 7a ~I=-I N. -WH W 6 .i Z: _ 7 U Y Lu .w M KVI m O c °k' 0 W OK CW ^... ~ _ S Y O .I-. 'mW oMQ rr IF zp 3y Y.� au z 'tea ,_' QBBB� tl.o ® a Ln "pH O i 'HZ w N eY : & W .o j I?... OW .F W OILE ..s .',�