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
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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
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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.
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Sign an re Date
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