NO PERMIT NUMBER �//���77// .✓' City of Cupertino
• ��" /� " 10300 Torre Avenue
Cupertino,CA 95014-3255
CITY OF Telephone: (408)777-3228
CU P E IST I NO FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: March 03, 2004
• RE: Address Change (APN #357-03-035)
Please note the following address changes: 22442 Walnut Circle South A and B are
being changed. The new addresses are 22438 Walnut Circle South (formerly unit A)
and 22442 Walnut Circle South (formerly unit B). Please change your records
accordingly.
The new addresses 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
CITY OF CUPERTINO
Poe 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 24674 PRINT DATE : 03/01/2004
PRINT TIME : 15 : 05 : 26
RECEIPT DATE 03/01/2004 OPERATOR : counter
COPY # : 4
RECEIVED BY counter CASH DRAWER: BS1
RECD. FROM SURJIT KAUR-GREWAL
USER 1
USER 2
NOTES : ADDRESS CHANGE
FEE ID AMOUNT — THIS RCPT BALANCE
ZADDCHG 245 . 00 245 . 00 0 . 00
TOTALS : 245 . 00 245 . 00 0 . 00
OD OF PAYMENT -AMOUNT NUMBER-- -
--------- --- - - ---
CHECK 245 . 00 171
TOTAL RECEIPT 245 . 00
•
Community Development Department
. . City of Cupertino
10300 Torre Avenue
• ., �yr �' Telephone:-(408)777-3228
,,.
Fax: (408)777-3333
CITY OF
DT
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): �91 )
S. CRrZcI�'l'L_
TELEPHONE NUMBER: Ild d 7� 97�
APN: J ✓
EXISTING ADDRESS: o� f i4 LUkLA ,I U-7 C-1 A E -SoU l
NEW ADDRESS REQUESTED: v 3 l�� L/\1 117– C l
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
1
Signature —Date
Revised 10/16/02 -
Printed on Recycled Paper
Community Development Department
ti City of Cupertino
G 10300 Torre Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
CITY OF
CUPEPTINO
CHANGE OF ADDRESS
REQUESTFORM
NAME (please print):
TELEPHONE NUMBER: L �(� �� 7� 9/7L)L)
APN:
EXISTING ADDRESS: k( U i C S DU—IJ--f
NEW ADDRESS REQUESTED: �� l��� L�I 0 7- <' I L LL S'o))T--/-f _
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.
Sdnature Date
Revised 10/16/02
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Community Development Department
City of Cupertino
10300 Torre Avenue
Telephone: 408 777-3228
Fax: (408)777-3333
CITY,
OF
CUPE 13T]NO
CHANGE OF ADDRESS
REQUEST FORM
'1_,
NAME (please print): v�1 J � K{} I� �� x-
77 /�1�✓��
TELEPHONE NUMBER: -G 7-- 27
APN:
EXISTING ADDRESS:-. _
NEW ADDRESS REQUESTED:,�LI^L-A�- i 2 L \(_tJ_r:_
Request for address change will be approved only if the change meets the.fonowing�r �/ S e/ -
criteria:
zzS�Y�
1. The change of address wi l-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
S ature Date' .
Revised 10/16/02 -
Printed on Recycled Pnpor .
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