ADDRESS CHANGE Ocit.vol,
Cupertino
CHANGE OF ADDRESS
REQUEST FORM
NAME (please print): o%j ';—'--yf z
TELEPHONE NUMBER: 4Z/-f -Z
APN: 1e*9ZCcz-L 2 —c
EXISTING ADDRESS:
NEW ADDRESS REQUESTED: 7�-✓ w `l
Requests for reassignment of addresses will be approved if consistent with 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 in address will not result in a public safety problem.
5. Proof of ownership and picture identification is required.
The fee for change of address is $126.00 The fee is due with this request form and will not be
refunded if.request is denied.
The direct costs associated with a request to change address will be borne by the applicant.
Approximate review time is fifteen(15) days. If change of address is granted, the new address will
be in effect thirty days following.
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Signature Date
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of10300 Torre Avenue
Cupertino,CA 95014
Cupertino Building Division
(408)777-3228
(408)777-3333 (fax)
OFFICIAL NOTIFICATION OF ADDRESS CHANGE .
CITY OF CUPERTINO
To: All Agencies and Developmental contacts
From: Building Department, City of Cupertino
Subject: APN 359— 18 - 020
Date: August 28, 1997
Please note the change in the following address:
Existing address: 10644 Felton Way
New address: 10648 Felton Way
Please see the attached map for clarification.
This address change will be in effect in thirty (30) days.
CITY OF CUPERTINO
00'000'0'�F) 00000007
Christy Akatiff, Administrative Clerk
mailed to agencies 08/29/97
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OFFICE OF COUNTY ASSESSOR - SANTA CLARA COUNTY , CALIFORNIA
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