NO PERMIT NUMBER L / 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: July 25, 2003
RE: Address Change (APN #326-20-049)
Please note the following address change: 21771 Stevens Creek Blvd., suite 200 is being
divided into three separate units. 21771 Stevens Creek Blvd. suite 200 will remain and
suite numbers 201 and 202 will be added.
The new address will take effect thirty 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
• 84
Fax: (408)777-3333 '
CITY Of
CUPEIUT
VI ]NO
CHANGE OF ADDRESS
REQUEST FORM
`Chtirlrs Ctieh
NAME (please print): CLI v\ co- L-ID Y'-Shu Chen 1
TELEPHONE NUMBER: (408) 929 - o•36 Y S// Sk,0 C k. l
APN: 3Z� 6 --00 -o4?--.00
a0r11 -fP—VO)SK-2 Susie 20D
EXISTING ADDRESS:
zo � Oz add NeW �u�,�-�
NEW ADDRESS REQUESTED: 2 O 0 . � �
Request for address change will be approved only if the change meets the following
criteria:
• 1. The change of address will not create confusion. Please attach a written account
outlining why the change will not cause 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 and PICTURE ID ARE REQUIRED.
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 request change 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.
,t
• Signature Date
Revised 10/16/02
Printed on Recycled Paper
- DETACH HERE DETACH HERE
CHIN-HSIANG CO LTD 2002-2003 TAXING AGENCY TAX RATE
P 0 BOX 2007 SECURED PROPERTY TAX BILL CO RETIREMENT LEVY .03880
CUPERTINO CA 95015-2007 COUNTY OF SANTA CLARA,STATE OF CALIFORNIA CO LIBRARY RETIREMENT .00240
FISCAL YEAR JULY 1,2002 TO JUNE 30,2003 ELEM OR UNIF SCH BONDS .03290
HIGH SCHOOL BONDS .03540
TAX COLLECTOR,SANTA CLARA COUNTY
TOT ASSESSED VAL RATE 1.10950
COUNTY GOVERNMENT CENTER,EAST WING
SCVWD–STATE WATER PROJ .00630
PROPERTY ADDRESS - 70W.HEDGING ST.,SAN JOSE,CA 95110-1767 SCVWD–ZONE W-1 BOND .00090
808-7900
21771 STEVENS CREEK BL wage>wWw.scc ax.ctax.org TOT LAND 8 IMPR RATE .00720
CUPERTINO 95014
TAX HATE AREA PARCEL NUMBER 820 SCVWD CLN SAFE CRKS $141 .40
ASSESSEE JANUARY 1, 2002827 CUPT/ENVIR/STORM • 63.36
CHIN-HSIANG CO LTD 13-110 -, 326=20-049.00 847 SCCO VECTOR CONTRO 14.82
850 COUNTY. LIBRARY 111 .08
880 SCVWD FLOOD CONTR 169.10
DOCUMENT NO. 13218720 885 SEWER SERVICE-CUPER 643.22
TOTAL SPECIAL ASSESSMENTS $1,142.98
IMPORTANT - TO ENSURE PROPER CREDIT, RETURN THE APPROPRIATE PAYMENT STUB WITH YOUR
PAYMENT. THE 1ST INSTALLMENT MUST BE PAID BEFORE OR WITH THE 2ND INSTALLMENT.
i
DESCRIPTION FULL CASH VALUE TAX RATE PER SIMTAX AMOUNT$ M33 08/31/02
LAND 545,400 1st DUE NOV 1,2002 2nd DUE FEB 1,2003
IMPROVEMENTS 719,703 10%PENALTY ADDED 10% PENALTY+$10 COST ADDED �OTL1L
TOTAL LAND d IMPROVEMENTS 1,265,103 .00720 91.08 AFTER DEC 10,2002 AFTER APR 10,2003
PERSONAL PROPERTY
TOTAL FULL CASH VALUE 1,265,103 1 .10950 14,036.30 TAX $7,635.18 $7,635.18 $15,270.36
SPECIAL ASSESSMENTS 1,142.98 10%PENALTY
GROSS TAX 15,270.36 COST
LESS:HOMEOWNERS EXEMPTION SECTION 506
OTHER EXEMPTION RET.CK.CHG.
TOTAL TAXES $15,270.36 TOTAL—y
970P14843.5
FOR U.S. MAIL PAYMENTS,THE U.S. POSTMARK IS USED AS THE DATE PAYMENT IS RECEIVED BY THE TAX COLLECTOR. BE SURE YOUR PAYMENT IS
MAILED EARLY ENOUGH TO BE PROCESSED BY THE U.S. POSTAL SERVICE WITH A POSTMARK NOT LATER THAN THE DELINQUENT DATE.
CITY OF CUPERTINO
Ole 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # : , 22526 PRINT DATE 07/17/2003
PRINT TIME 09 : 58 :24
RECEIPT DATE 07/17/2003 OPERATOR conniew
COPY # 3 '
RECEIVED BY conniew CASH DRAWER: BS1
RECD. FROM CHIN HSIANG CO.
USER 1
USER 2
NOTES : CHANGE OF ADDRESS FOR 21771 STEVENS CREEK BLVD
FEE ID AMOUNT THIS RCPT BALANCE
--- ----- - ------- ----- ---- --------
ZADDCHG 245 . 00 245 . 00 0 . 00
TOTALS : 245 . 00 245 . 00 0 . 00
I
METHOD OF PAYMENT AMOUNT NUMBER
-------------- --- -- - --------- -- ----------------
CHECK 245 . 00 3629
'i.AL RECEIPT 245 . 00