NO PERMIT NUMBER (2) ' a'(F City of Cupertino
10300 Torre Avenue
Cupertino,CA 95014-3255
I CITY OF Telephone: (408)777-3228
CU PE IST I N O FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF NEW ADDRESS ASSIGNMENT
TO: All Agencies
FROM: City of Cupertino
DATE: March 25, 2005
RE: Address assignment (APN #357-06-015)
Please note the following address assignment. Parcel #357-06-015 on Scenic Blvd has
been assigned 10495 Scenic Blvd as its new address. See the attached parcel map.
Please update your records accordingly.
The new address will take effect immediately. If you have any questions, please call
me at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative clerk
Printed on Recycled Paper
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av-11 Community Development Department
City of Cupertino
10300 Tone Avenue
Telephone: (408)777-3228
Fax: (408)777-3333
CITY OF
CUPEITINO
NEW ADDRESS
ASSIGNMENT FORM
DATE:
NAME (please print): G-v e ��C�tM�✓l CI
TELEPHONE NUMBER: -+4 C 12�
APN: -7S S T — OL- 1>l ti
NEW ADDRESS: \ D 4-1�S S C e.tn t C- Q\\4
The new address will be assigned using the following criteria:
1. The new address will not create confusion.
2. The odd/even addressing system will be maintained.
3. The new address will not result in a public safety hazard.
4. PROOF OF OWNERSHIP IS REQUIRED. (Ex. property tax bill)
The new address will be in effect thirty (30) days following assignment.
71
Signature
Revised 10/16/02
Printed on Recycled Paper