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 NEW/ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: June 17, 2010
RE: New/Change of Address APN #369-06-009
Please note the following address change: 19648 Stevens Creek Blvd is being divided into
2 units. 19648 Stevens Creek Blvd will remain and the new unit address will be 19650
Stevens Creek Blvd. 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,
Susan Winslow
Administrative Clerk
S v2!'IS oue-,K p LU
x���•� �' ' li ! . IP �, �.CIJCJ.v3� ..i°. ['.'Q''y,x;§a lr,'a a�lo.;.+e_q?kz I.
19620 t , 19620
150 60 ^`,
a(
J iii 1 ss2o ��
�
180
-a� �D � r F i �' •��'' Nr i
�.}.
19620
{( 190 i
a ,
,,,00p '' 4 Aw a bfi Y? •` S , w
lop
<Ky}! JA I aO
S i N ((� •i yy % A t ., i 4' ', '
�i�°chi-e�,¢Aaa t 'a;•a �. wtlii fa t :.J. ♦ � 1: t 4 , 0
"ra•r a aa' t`5, as , ,E !i\� y: i t
• '• 'ciao--i+'-°s-a'.a- i � t� , �� ` I � )' '
a•a:
PUT
`aaai s�"r°-°�, ir°"d<J• � 't `l : ,'�A.'\\ 1'• i,;�' � 5' j
•• - ¢;w. . 'F `� . ' 33-- 4 f '
�� ;; :� , �� i° cls.♦� a ,. ��: � .�
19652
\ ,
aya�c••" v.:
1966 •• q�.$"^a,'M3�',.,'eds:
. \ 1, ! a`•.a"j
I..6�T,ro /
all SF �aJ
196,
CUPERTINO
DATE:
NAME (please print):
Building Department
CITY OF CUPERTINO
10300 TORRE AVENUE • CUPERTINO, CA 95014-3255
TELEPHONE: (408) 777-3228 • FAX: (408) 777-3333
NEW ADDRESS ASSIGNMENT FORM
TELEPHONE NUMBER: 408 347_ 1 0gA
APN: -ArQ-nti_nn4
NEWADDRESS: 19648 Stevens creek blvd cupe'rtino to
divide two unites:19648,19650 Stevens creek blvd.'
The new address will be assigned using the following criteria:
1. The new address will not create confusion.
2. ` The odd/even addressing system will be maintained.,
3. The new address will"not result in a public safety hazard.
4. PROOF OF OWNERSHIP Is REQUIRED. (Ex. property tax bill)
The fee for processing a new address 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 associatedwith a new address request will be borne by the.
applicant: Approximate review time is fifteen (15) days._ If the address is granted,
the new address will be in effect thirty (30) days following approval.
Signature
Date
CITY OF CUPERTINO
RECEIPT NUMBER: BS000010636
RECEIVED BY: SUEW PAYOR: EVERSHINE
TODAY'S DATE: 06/15/10 REGISTER DATE: 06/15/10
TIME: 16:17
1
ADDRESS CHANGE NEED SITE MAP WITH ADDRES $317.00
----------------
TOTAL DUE: $317.00
CHECK $317.00 REF NUM: E061699
TENDERED CHANGE
$317.00 $.00
SJV
kt
It
......
SJV