NO PERMIT NUMBER (2) � City of Cupertino
• �a{i/'/ 10300 Torre Avenue
- Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF FAX: (408)777-3333
CUPEkTINO
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: April 06, 2007
RE: Address Change APN #362-02-028
• Please note the following address change: 10824 Bubb Rd has added a 2nd unit. The
address for the 2nd unit is 10826 Bubb Rd, Cupertino, CA 95014. See the attached map.
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
•
Printed on Recycled Paper
Community Development Department
tr City of Cupertino
10300 Torre Avenue
iZ" Telephone: (408)777-3228
. Fax: (408) 777-3333
GH=ANGE-&F-ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME (please print):
G�
TELEPHONE NUMBER: J
APN (assessors parcel
EXISTING ADDRESS: eP
DNgEW ADDRESS REQUESTED: \C' jElnn� 6t 1 01?2(2 PU PS r .
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 change is granted, the new address will be in effect thirty (30) days following
. approv 1.
Signature bate
CITY OF CUPERTINO
RECEIPT NUMBER: BS000000575
• RECEIVED BY: AMYW PAYOR: LEONA SY
TODAY'S DATE: 03/01/07 REGISTER DATE: 03/01/07
TIME: 09 : 04
1
ADDRESS CHANGE 1. 000 @ $268. 00 $268. 00
----------------
TOTAL DUE: $268. 00
CHECK $268. 00 REF NUM: 1006
TENDERED CHANGE
$268. 00 $ . 00
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