CHANGE OF ADDRESS • (, p 1 City of Cupertino
• 10300 Torre Avenue
Cupertino,CA 95014-3255
CITY Of Telephone: (408)777-3228
CU P E IST I NO 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 #326-01-026/326-01-027)
• Please note the following address change: 22390 Homestead Road is being divided into
two units. 22390 Homestead will remain the same. The second unit will be 23000
Homestead Road, CA. 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
•
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CITY OF CUPERTINO
P 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 31967 PRINT DATE 11/16/2005
PRINT TIME 17 : 01 : 30
RECEIPT DATE 11/17/2005 OPERATOR counter
COPY # 3
RECEIVED BY counter CASH DRAWER: BS1
RECD. FROM JAYNE HAM
USER 1
USER 2
NOTES : ADDRESS CHANGE 22390 HOMESTEAD
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
----------- ------------------
O' R 268 . 00 VISA
TOTAL RECEIPT 268 . 00
•
11/15/2005 15: 10 FAX 408 777 3333 CITY CUPERTINO in 00 1/00 1
• 1
L • f � Community DevelopDepartinent
Q/� Cityoff Cupertino
IOSOO Torre AvenueW-" Juze-7-7-7 ` J aV V/
Telephone: (408)7773228
Fax: (908)777$393
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME(please print): jaqme
TELEP14ONE NUMBER: Ll — I E
/F:�->
AFN (assessors parcel 0): �J o — D ' 02 (P / 3 oZ & —D ( — O A7
EXISTING ADDRESS: a 3 Ot O 4v m e s t ee-d RL( 11oo nn
NEW ADDRESS REQUESTED: 02:Z "Jq C) M e s-ea& t.
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. (Ex.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.
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Si Date
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