NO PERMIT NUMBER (2) • WDCity of Cupertino
`7 70300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY Of PAX: (408)777-3333
CUPEkTINO
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: January 24, 2007
RE: Address Change APN #357-16-011
• Please note the following address change: 21796 Stevens Creek Blvd.'s address has.
changed. The new address is 10015 Orange Avenue. ,Please update your records
accordingly.
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
•
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Community Development Department
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-M8
Fax: (408)777-3333
CHANGE OF ApDRESS/ADD SUITE NUMBERS
CREQUEST FORM �y
NAME (please print): 7QS—V 1 �pl-dVl cu ��c
TELEPHONE NUMBER: L�Q� / ZJ
APN (assessors parcel
EXISTING ADDRESS: L� l I I VJ C U�� S W u
NEW ADDRESS REQUESTED: l5= ran q E Gly C
NEW SUITE NUMBERS REQUESTED:
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. PROOF OF OWNERSHIP IS REQUIRED. (property tax bill)
The fee for a change of address/addition of suite numbers request is
$268.00. 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/addition of suite numbers request
will be borne by the applicant. 'Approximate review time is fifteen (15) days. If the
address chUisgrad, the new address will be in effect thirty (30) days following
approval.
Signature Date
CITY OF CUPERTINO
0e 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 37021 PRINT DATE : 12/12/2006
PRINT TIME : 14 : 50 : 03
RECEIPT DATE 12/12/2006 OPERATOR : amyw
COPY # : 3
RECEIVED BY amyw CASH DRAWER: BS1
RECD. FROM AIDA CUKIC
USER 1
USER . 2
NOTES
FEE ID AMOUNT THIS RCPT BALANCE
-------- -------- --------- --------
ZADDCHG 268 . 00 268 . 00 0 . 00
-------- -------- --------
TOTALS : 268 . 00 268 .:00 0 . 00
METHOD OF PAYMENT AMOUNTNUMBER
------ ----------- ------------ -------- ---------
CHECK 268 . 00 2413
0 AL RECEIPT 268 00
• J
DETACH HERE DETACH HERE
CUKI� ASHA AND AIDA COUNT` - SANTA CLARA Ta%INGAGEN(Y TnxaATE
'o, 1'7.-MAXIMUM-TAX-LEVY �-0000`3-
21794 EVENS CREEK BL SECURE . OPERTY TAX BILL CO RETIREMENT LEVY. .03880
CUPERTINO CA 95014-1122 FISCAL YEAR 2006-07 CO LIBRARY RETIREMENT .00240 .
(JULY 1, 2006 TO JUNE 30, 2007) ELEM OR UNIF SCH BONDS .02890
HIGH SCHOOL BONDS .02430
COUNTY GOVERNMENT CENTER, EAST WING COMM COLLEGE BONDS .03460
70 WHEDDING ST., SAN JOSE, CA 55110-1767 TOT ASSESSED VAL RATE 1 .12900
PFOPERTV ADDRESS W. SCVWD-STATE WATER PROJ .00700
21796 STEVENS CREEK BL -VVWW.SCCTAX.O RG (408) 808-7900 SCVWD-ZONE W-1 BOND .00020
CUPERTINO 95014 TOT LAND & IMPR RATE .00720
ASSEMEE JANUARY 1, 2806 TAX RATE AREAPARCEL NUMBER
820 SCVWD CLN. SAFE CRKS $45.26
CUKIC $ASHA AND AIDA 13-009 357-16-011-00 827 CUPT/ENVIR/STORM 12.00
847 SCCO VECTOR CONTRO
5. 08
- 848: MOSQUITO ASMT #2 8.36
DOCUMENT NO. 18550527 850 COUNTY LIBRARY 33.66
880 SCVWD FLOOD CONTR 48.28
885 SEWER SERVICE-CUPER 252.00
IMPORTANT - TO ENSUREPROPERCREDIT, RETURN THE APPROPRIATE PAYMENT STUB WITH YOUR 896 FUHSD PARCEL TAX 98. 00
PAYMENT. THE 1ST INSTALLMENT MUST BE PAID BEFORE OR WITH THE 2ND INSTALLMENT. TOTAL SPECIAL ASSESSMENTS $502.64
DESGRIPTION ASSESSED VALUE TAX RATE PER$100 TAX AMOUNTS M33 08/23/06
LAND 698,400 1st DUE NOV 1, 2006 2nd DUE FEB 1, 2007
IMPROVEMENTS 48,500 10%PENALTY+$20 COST ADDED 10%PENALTY+S20 COST ADDED
TOTAL LAND a IMPROVEMENTS 746,900 .00720 53.76 AFTER DEC 10,2006 AFTER APR 10,2007
PERSONAL PROPERTY
TOTAL ASSESSED VALUE 746,900 1 .12900 8,432.49 TAX—> $4,454.93 $4,454.93 $8,909.86
SPECIAL ASSESSMENTS 502.64 I0%PENALTY
GROSS TAX 8,988.89 COST
LESS:HOMEOWNER'S EXEMPTION 7,000 1 . 12900 79.03— SECTION 506
OTHER EXEMPTION RET.CK.CNG.
IOTA? TAXES $8,909.86 TOTAL—0
970P166037
PAY YOUR TAXES ON-LINE AT WWW.SCCTAX.ORG USING a-CHECK OR
MAJOR CREDIT CARD. SEE REVERSE FOR PAYMENT INSTRUCTIONS.