NO PERMIT NUMBER (2) City of Cupertino
• ��,/ 10300 Torre Avenue
Cupertino,CA 95014-3255
Telephone: (408)777-3228
CITY OF FAX: (408)777-3333
CUPEI�TINO
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: March 28, 2007
RE: Address Change APN #359-22-060
• Please note the following address change: 10758 S Stelling Rd. has been divided into
two (2) parcels. Parcel three (3) will be 20905 Jollyman Lane and parcel four (4) will be
10735 Orline Ct. (See attached parcel map). Please update your records accordingly.
The new addresses 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)777-3228
Fax: (408) 777-3333
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME (please print): CUFF P-7 lWQI
TELEPHONE NUMBER: LVA— Cl9�—
APN (assessors parcel #): 3s9—Z2-- 60 3 Scj — Z 2 — b 6 )
EXISTING ADDRESS: Io1SZ— Io�Sg S S}�11 ;� R � G �,�,��5�►tiL�I�3
NEW ADDRESS REQUESTED:
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
• approval. gnature Date
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Community Development Department
City of Cupertino
10300 Torre Avenue
• Telephone: (408)777-3228
Fax: (408)777-3333
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME (please print): C U P 62-T l: Na Hv-f\77.5 LL G
TELEPHONE NUMBER: Ly1 "3— 99k-
APN (assessors parcel #): 3S`I—ZZ— 060 3S�—zZ - 0 6) 1�
EXISTING ADDRESS: k20 9Z— tEISK S Ste It p, R1 C4zr1k �b eA ���)�1
NEW ADDRESS REQUESTED: 1613 S 03t1ir`e
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
approval. Al
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gnature Date
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