Change of Address art
City of Cupertino
'10300 Torre Avenue
Cupertino,CA 95014-3255
CITY Of Telephone: (408)777-3228
CU P E IST I N O FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: June 10, 2004
RE: Address Change (APN #316-26-094)
• Please note the following address change: 20425 Stevens Creek Blvd. has been divided
into two units. The new address will be 20425 Stevens Creek Blvd., suite #100 and
suite #200. Please change your records accordingly.
The new address will take effect immediately. If you have any questions, please call
me at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative clerk
i
Printed on Recycled Paper
CITY OF CUPERTINO
F+: 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 25831 PRINT DATE :, 06/10/2004
PRINT TIME 11 : 04 : 50
RECEIPT DATE 06/10/2004 OPERATOR counter
COPY # 2
RECEIVED BY counter CASH DRAWER: BSI
REC ' D. FROM WESTWOOD COMPANY
USER 1
USER 2
NOTES : ADDRESS CHANGE-SUBDIVIDED SUITE-20425 SCB #100 , 200
FEE ID AMOUNT THIS RCPT BALANCE
ZADDCHG 245 . 00 245 . 00 0 . 00
_------- -------- --------
TOTALS : 245 . 00 245 . 00 0 . 00
METHOD OF PAYMENT AMOUNT NUMBER
- ---- --- -- - - ---------- - - ---- -------
C ,:K 245 . 00 2009
TOTAL RECEIPT 245 . 00
•
rl„ Community Development Department
City of Cupertino
10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
CITY-OF
CUPEkTINO
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): Westwood Company-Market Street
TELEPHONE NUMBER: 408-984-4800
APN: 316-26-094
EXISTING ADDRESS: 20425 Stevens Creek Boulevard, Cupertino, CA
NEW ADDRESS REQUESTED: 20425 Stevens Creek Boulevard, Suite 100 and
Suite 200
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. The change of address will not result in a public safety hazard.
5. PROOF OF OWNERSHIP IS REQUIRED. (Ex. property tax bill)
The fee for a change of address request is $245.00. 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 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.
Signature —� Date
•
Revised 10/16/02
Printed on Recycled Paper
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