NO PERMIT NUMBER (2) ' srm��
City of Cupertino
10300 Torre Avenue
CITY OF Cupertino,CA 95014-3255
Telephone: (408)777-3228
CU P E T I N O FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: June 20, 2006
• RE: Address Change (APN 326-08-035)
Please note the following address change: 10584 Flora Vista Avenue, Cupertino, 95014
been changed. The new address is 10588 Flora Vista Avenue (see attached map).
Please update your records accordingly.
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
•
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•
CITY OF CUPERTINO
P• 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 34819 PRINT DATE 06/13/2006
PRINT TIME 10:36:39
RECEIPT DATE 06/13/2006 OPERATOR suem
COPY # 1
RECEIVED BY suem CASH DRAWER: BS1
RECD. FROM WENJUN TANG
USER 1
USER 2
NOTES : ADDRESS CHANGE- FROM 10584 FLORA VISTA TO 10588 FLORA VST
FEE ID AMOUNT THIS RCPT BALANCE
________ -------- _________ ________
ZADDCHG 268.00 268.00 0.00
TOTALS: 268.00 268.00 0.00
METHOD OF PAYMENT AMOUNT NUMBER
_________________ ------------ __________________
OTHER 268.00 VISA
To RECEIPT 268.00
•
Community Development Department
City of Cupertino
10300 Torre Avenue
. Telephone: (408)777-3228
Fax: (408)777-3333
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): W E/ll j ()jV T&d
TELEPHONE NUMBER: Leo g — �3— �SZI
APN: C> 3S
EXISTING ADDRESS: l 1-9 FLta I/Z -"a ALL
NEW ADDRESS REQUESTED: IoJIff FGA
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 $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 request will be borne by the
applicant. Approximate review time is fifteen (15) days. If the address change is
anted, the new address will be in effect thirty (30) days following approval.
• Signa Date
Revised 10/16/02
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