NO PERMIT NUMBER • Building Department
CITY OF CUPERTINO
CUPERTINO 10300 TORRE AVENUE • CUPERTINO,CA 95014-3255
TELEPHONE:(408)777-3228 • FAX: (408)777-3333
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: March 30, 2009
RE: Address Change APN #316-23-073
• Please note the following address change: 10164 Randy Lane is being changed to 10168 Randy
Lane. Please update your records accordingly. See attached map.
The new address will take effect 30 days from the date of this letter. If you have any questions,
please call me at (408) 777-3246.
Sincerel ,
Susan Winslow
Administrative Clerk
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RANDY
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T io168.' ,Caa
MAR 2 3 2009
DO u Community Development Department
City of Cupertino
MAR 2 3 2009 10300 Torre Avenue
Telephone: (408)777-3228
• By— A) Fax: (408)7773333
CHANGE OF ADDRESS/ADD SUITE NUMBERS
REQUEST FORM
NAME (please print): �I CA h, 4,A AArz F-R,"IA,J
TELEPHONE NUMBER: 661 S i t- Sy 1 S
APN (assessors parcel #): 3 ) 6 - 2- 3 - 013 - o a
EXISTING ADDRESS:
NEW ADDRESS REQUESTED: 10 1613 'R A A/b L A Ne_
NEW SUITE NUMBERS REQUESTED:
Request for address change will be approved only if the change meets the following Q
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
$306.00 (per hour). The fee is due with this request form and will not be
refunded if the request is denied.
The direct c&ts 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.
Signature
Date
U
= N E T R O S C A N P R O P E R T Y P R O F I L E _
Santa Clara (CA)
xxxxxx**xxxx*x*****************************************x**x*xx*x*xxxxxx*******************xxxx
*
* < < < OWNERSHIP INFORMATION > > >
*
* Owner :Forman Richard M/Barbara Parcel Number :316 23 073
* CoOwner Bldg Id No :1
* Site Address :10164 Randy Ln Cupertino 95014
* Mail Address :10164 Randy Ln Cupertino Ca 95014
* Phone :Owner:
* *
* < < < SALES AND LOAN INFORMATION > > >
*
* Transferred : 09/19/2002 Loan Amount :$209, 054
* Document # :16487393 Lender :Wells Fargo Hm Mtg
* Sale Price Loan Type :Conventional
* Deed Type :Grant Deed Interest Type :Fixed
* % Owned :100 Vesting Type :Married Persons
*
* < < < ASSESSMENT AND TAX INFORMATION > > >
*
* Land :$471, 462 Exempt Type
* Structure :$250, 014 Exempt Amount
* Other Tax Rate Area :13003
* Total :$721, 476 08-09 Taxes : $8, 506.64
* % Improved :35
*
x
* < < < PROPERTY DESCRIPTION > > >
• Census :Tract: 5081.01 Block:2
* Map Grid : 832 E7
* Zoning :R1 Res Single Family Residence
* Land Use : 01 Res, Single Family Residence
* Sub/Plat :Woods Un No 3 The
* Legal :TR 4590 LOT 83
*
* MLS Area :018
*
* < < < PROPERTY CHARACTERISTICS > > >
*
* Total Rms :9 Bldg SF :2,240 Units YearBuilt :1969
* Bedrooms :3 Lot SF :7, 841 Patio :No EffYearBlt :1969
* Bathrooms :2.50 UseableSF:8, 165 Porch :Yes Garage Sp :2
x Stories :2 Lot Acres: .18 Elevator Garage SF :484
* Dining Rm :1 Lot Dimen:7lxll5 Lease SF Bldg Cond :Avg
* Family Rm :1 Pool :Yes Office SF: Bldg Class :7 .0
* Rec Room Fireplace: Sprinkler: Bldg Shape :L-shape
* UtilityRm :1 Sauna 1stFlr SF:1, 120 GarageTyp :Garage
* Water Src Dishwsher: 2ndFlr SF:1, 120 WallHgt
* Elect Svc Tennis Ct: 3rdFlr SF: AddtionSF
* Gas Svc FrameType:Wood Rental SF:
* Cnt1Ht/Ac:Heat Only
*
*x*****x*x****x*x********x******x*x*****xxx*******xxx*******x************xxx**********xxxx*x**
Information compiled from various sources. Real Estate Solutions makes no representations
or warranties as to the accuracy or completeness of information contained in this report.
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• CITY OF CUPERTINO
RECEIPT NUMBER: BS000007344
RECEIVED BY: PATRICIAG PAYOR: RICHARD M FORMAN
• TODAY' S DATE: 03/23/09 REGISTER DATE: 03/23/09
TIME: 10 : 31
1
ADDRESS CHANGE 1 . 000 ® $306 . 00 $306 . 00
----------------
TOTAL DUE: $306 . 00
CHECK $306 . 00 REF NUM: #2570
TENDERED CHANGE
$306 . 00 $ . 00
•