NO PERMIT NUMBER (22)15T.
CITY OF
CUPEkTINO
City of Cupertino
10300 Torre 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: November 21, 2005
RE: Address Change (APN #369-01-028)
• Please note the following address change: 20400 Stevens Creek Blvd has added suite
#230 and suite #390. 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
•
•
NAME (please print):
Community. Development Department
City of Cupertino
10300 Torre Avenue
Telephone: (408) 777-3228
Fax: (408) 777-3333
RECEIVED
CHANGE OF ADDRESS AU6 22 2005
REQUEST FORM
TELEPHONE NUMBER: -4 o43 —$ / 3 —01 ooLj
�1
EXISTING ADDRESS:
NEW ADDRESS REQUESTED:U— *2—,30
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
granted, the new address will be in effect thirty (30) days following approval.
Si afore Date
Revised 10/16/02
I no 11''
gsbIT
I
M.-
1 of' 1
RECEIPT # : 30856
RECEIPT DATE : 08/22/2005
RECEIVED BY : conniew
REC'D. FROM : CCC III/IV
USER 1
USER 2
NOTES : ADD NEW SUITE 4230
CITY OF CUPERTINO
MISCELLANEOUS RECEIPT
PRINT DATE 08/22/2005
PRINT TIME 13:46:04
OPERATOR conniew
COPY # 3
CASH DRAWER: BS1
Z- c> s , c , f3 ,
FEE ID - AMOUNT
ZADDCHG 268.00
TOTALS: 268.00
METHOD OF PAYMENT AMOUNT
----------------- ------------
CHECK 266.00
70L RECEIPT : 268.00
THIS RCPT BALANCE
268.00 0.00
-------- --------
268 00 0.00
NUMBER
------------------
394578
•
•
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:
APN:
EXISTING ADDRESS:
W ADDRESS REQUESTED: SDSywA CV -e r ( T it
�� ��n ;�
Request for address c ange w approve o y 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
granted, the new address will be in effect thirty (30) days following approval.
Signatui
Revised 10/16/02
Date
9011
1 of 1
RECEIPT # : 30641
RECEIPT DATE : 08/04/2005
CITY OF CUPERTINO
MISCELLANEOUS RECEIPT
RECEIVED BY : conniew
RECD. FROM : MR. GREGORY D LOPEZ
USER 1
USER 2
NOTES : ADD SUITE #390 TO 20400 S.C.B.
FEE ID
AMOUNT
--------
ZADDCHG
--------
268.00
TOTALS:
268.00
METHOD OF PAYMENT
AMOUNT
-----------------
CHECK
------------
268.00
10AL RECEIPT
268.00
PRINT DATE 08/04/2005
PRINT TIME 10:19:20
OPERATOR conniew
COPY # 3
CASH DRAWER: BS1
THIS RCPT BALANCE
--------- --------
268.00 0.00
-------- --------
268 00 0.00
NUMBER
------------------
5291