NO PERMIT NUMBER (16)CITY OF
CUPEI�TINO
•
0
City of Cupertino
10300 Tone Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
FAX: (408) 777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: April 07, 2004
RE: Address Change (APN #369-01-028)
Please note the following address change: 20400 Stevens Creek Blvd. has added a new
suite number. The new address will be 20400 Stevens Creek Blvd #740. 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
AN. 1 of 1
CITY OF CUPERTINO
MISCELLANEOUS RECEIPT
RECEIPT #
25064
PRINT DATE
04/02/2004
PRINT TIME
11:48:43
RECEIPT DATE
04/02/2004
OPERATOR
conniew
COPY #
3
RECEIVED BY
conniew
CASH DRAWER:
BS1
RECD. FROM
NARNI L BOHLSCHEID
USER 1
USER 2
NOTES : CHANGE
ADDRESS FEES FOR 20400
S.C.B. SUIET
4740/750
FEE ID AMOUNT THIS RCPT BALANCE
---------------------------------
ZADDCHG 245.00 245.00 0.00
TOTALS: 245.00 245.00 0.00
METHOD OF PAYMENT AMOUNT NUMBER
CHECK 245.00 4600
T+L RECEIPT 245.00
0
02/26/04 10:96 $4087773393 CITY CUPERTINO +++ Prometheus Cuper 1@001/001
• -{� 8�3 - d�o7�
Community Development Department
City of Cupertino
10300 Torre Avenue
• Telephone: (408) 777-3228
CITY OF Fax: (408) 777-3333
CUPEkTINO
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): C�( er4i 1� 1 l .? &4 Cc -
TELEPPHONE NUMBER:
APN: � (0q () I () a
EXISTING ADDRESS: aoy� ? � �,Vty cheek- Nod 01, Pori i1904
NEW ADDRESS REQUESTED: s Cl d P0�' i31c ]c�• , �t ute# �-
—C)tUO-G&Ik, ocee.(p Ins tkla &- Cu rr move lh 3io3la�
Request for address change will approved only if the change meet4 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
JAIS
c '
Si a e Date
Revised 10/16/02
Printed on R.^CyClad Paper
02/26/2004 THU 11:27 [Tx/R% NO 52831 Ii3001
0
8�3 - oioz�
CITY OF
CUPEkTINO
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):
TELEPHONE NUMBER:O
APN: 3 GC1 h 10, a
E)QSTING ADDRESS:
NEW ADDRFSS REQUESTLD: 0qW - h,3 (�j-eaj &L
Request for address change will be approved only if the change meetd the following
criteria:
I. 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 PICruRE 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.
Revised 10/16/02
Printed on RecyGod Popes
�Lr)2L-Dq=
Date I
,t
02/26/2004 THU 11:27 (TX/RX NO 52801 0 001