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NO PERMIT NUMBER (2)5PK4111"O; CA CITY OF CUPEQ INO NAME (please print): Community Development Department City of Cupertino 10300 Torre Avenue Telephone: (408) 777-3228 Fax: (408) 777-3333 CHANGE OF ADDRESS REQUEST FORM JUN 1 1 2004 TELEPHONE NUMBER: _ APN: 3 s- Z 2- O EXISTING ADDRESS: NEW ADDRESS 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. 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 $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 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. Revised 10/16/02 Printed on Recycled Paper Date a. RECORDING REQUESTED BY DOCUMENT: 17694715 Pages 2 C-UTQaQO TITLE COMPANY AND WHEN RECORDED MAIL. TO Fees.... 10.0 Taxes... 1029.660 FXUDONG DOING AND XIA MA Copies.. 7584 Bollinger Road AMT PAID 1039.60 Cupertino, California 95014 BRENDA DAVIS RDE ff 008 SANTA CLARA COUNTY RECORDER 4/02/2004 Recorded at the request of 8:00 AM Chicago Title L Escrow No. 100717 - YO order No 100717 - VW SPACE A9ovE TMa UNE FOR RECORDERS USE (TQ ANT DPRT) Assessor's Parcel No: THE UNDERSIGNED-- D000MENTARYTRANSFERTAXIS Co $1,029.60 No City Declarant/.Z-- ❑ unincorporated area ® Cityof Cupertino © computed on the fug value of the interest or property conveyed, m is ❑ computed on the fun value lees the value of gem or eacumbraam temniningat time of sale, and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Yaw wen Hu and Allison Hu, Husband and Wife, in Joint Tenancy hereby GRANT(S) to �\ XUDONG DONG AND $IA MA, HUSBAND AND WIFE AS JOINT TENANTS 14 the following described real property in the city of Cupertino County of SANTA CLARA , State of Ca fornia: LEGAL DESCRIPTION ATTACHED HERETO AND MADE A PART HEREOF BY REFERENCE Dated March 24, 2004 STATEOF CALIFORNIA COUNTY OF Santa Clara ) SS On March 25, 2004 before TB• Y w Wen Hu Aranyanee Olsen e Notary Public In and for Said County and State, personalty appeared '— 197, Yaw Wen Hu and Allison Hu Allison Hu personalty known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) b/ere subscribed to the within instrument and acknowledged to me that he/she/they executed the AflANYANEE Oall Same in his/her/their authorized capachy(les), and that by his/hw/their Comm. ! 1295723 1 9 EAUF n uormr RrCa. N g () peraon(s), a the entity upon behalf of si nahrre n on the instrument the r save a.. C.Mv which the�n(seeaddthe instrument. rw. E.O. uam i.;sos MTNtl send.� Notary Date mission res von rurARv SEAL OR STA14P • gnre MNL TAX STA ENTS TO PANTY SHOWN ON FOLLOWING UNE IF NO PAHfY SO SHOWN. MAIL AS DIRECTED ABOVE Name Street Address City, State 8 Zip DD1-05130/9r Page 1 of 1 RECEIPT # 25865 RECEIPT DATE 06/11/2004 CITY OF CUPERTINO MISCELLANEOUS RECEIPT PRINT DATE : 06/11/2004 PRINT TIME : 14:19:24 OPERATOR : conniew COPY # : 3 RECEIVED BY : conniew CASH DRAWER: BS1 RECD. FROM : ARTHUR DONG USER 1 USER 2 NOTES : CHANGE OF ADDRESS FOR 7584 BOLLINGER RD. TO #7588 FEE ID AMOUNT -------- ZADDCHG -------- 245.00 TOTALS: 245.00 METHOD OF PAYMENT AMOUNT ----------------- JER ------------ 245_00 TuTAL RECEIPT 245.00 0 THIS RCPT BALANCE --------- -------- 245.00 0.00 245.00 0.00 NUMBER ------------------ M/C I _ _ _ W1 LANE-- �-- 1 7614 76ro 7604 TRACT N9? 2335586 7512 7570 757r 7566 756Z^ n56 cD. 60.20 60.20 6020 61420 60.20 6020 60.2D 60.20 � 60.20 1 6030 I 60.20 12543 Z411 W2^ 1�� = 1�0� i i i 1 j i • 30 f-07 /7 ,[B /9 20 ; 2/ i 22 23 24 25 1 26 gj 2B 29 A W 21 o wf 1 o cr- 37 36 i 39 1 40 41 ij 42 43 44 45 46 �it�47 i 48 49 FM 55 ••1---•1�.•��... 'I ..- 6r.ii•t�o:ii ' SO:ii— w:ii '1 [0:5858 er.0 .l.lo _Q -: ,.ate[ i, 1 1 2 3 1 4 1 5 1 6 $j •SC� REGNART CREEK 9 1 G 1.84 AC. I =j SI ei j I PCI.A` .sil al 1➢454—_ lE 21 43 '� .I 4/ «I 49 el 59 Pci ev 23 ,58 2 '6 .ase 1 6e.�a 46' d1 WESTLYN-UN. N°- 1 A 7655 TRAC 177 6A41 19 i f �5f3..Y TRACT N"- 2167. )1 e t4-_- BQLLINGER N` 55882P. M. 390:M-41 7165 — 7667 57 3 1:0 rt ROAD--- »_n _ w 47 / 63.,7. t. _ 4.92 5`6 4 ,. 8 52 ., 4d � ��� t 68 _T _9F__4 $w - 1 0 > a 46P 1 2 p 6 i '•t,. �[ \ Z n 62.26 e /3024 el 54 5/ � ^'4 7/ .3 W 50 60.01 s -- — 5 / 4 \ 3 17;.02 T 8 . TRACT N° 7213 P M. 583-M-21 W "I �N 01 366 4164 VT p5,a. • ,J, �C/4L ' le