ADDRESS CHANGE - 111 � � City of Cupertino
• � ] Torre Avenue
Cupertino,
CA 95014-3255
CITY OF Telephone: (408)777-3228
C U P E IST I N O FAX: (408)777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: October 12, 2005
RE: Address Change (APN #366-10-131,132,133,134,)
• Please note the following address change: 1601 S. De Anza Blvd, Cupertino, CA is
adding suite numbers 111, 115, 118, 212, 213, and 230. Please update your records
accordingly.
The new addresses will take effect thirty days from the date of this letter. If you have
any questions, please call me at (408) 777-3246.
Sincerely,
Susan Winslow
Administrative clerk
Printed on Recycled Paper
` CITY OF CUPERTINO
P. 1 of 1 MISCELLANEOUS RECEIPT
RECEIPT # 31564 PRINT DATE 10/11/2005
PRINT TIME 15:59:16
RECEIPT DATE 10/11/2005 OPERATOR suem
COPY # 2
RECEIVED BY suem CASH DRAWER: BS1
RECD. FROM DOLLINGER PROPERTY
USER 1
USER 2
NOTES : 1601 S DE ANZA-ADDING SUITE #S 111, 115, 118,212,213,230
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
_________________ ------------ _-----______--__-_
CHECK 268.00 08969
T* RECEIPT 268.00
•
10/04/2005 08. 12 FAX 408 777 3333 CITY CUPERTINO V001/001
' 6 i-rl Shcr�
f�7-�/1J. 'P / c-dlrlo Community Development Department
p v City of Cupertino
�so ��O — a ��� 10300 Torre Avenue
Telephone: (408)777-3228
• Fax: (408)777- 333
CHANGE OF ADDRESS/ADD SUITE NUMBERS
1 REQUEST FORM
NAME(please print): v/01 I P 1� Dem H h (l-
TELEPHONE NUMBER: I �PF309) - P-0(0(0 11
APN (assessors parcel #): 3k to- I b - I3 �) 3 Z , �-J 3, I t
EXISTING ADDRESS: S D t n hZQ. I31yd , C! .W-h h o cl5o 4
NEW SUITE NUMBERS REQUESTED: I I 1 1 ) 15, 1 I S 2-I Z, Z 1 ( 2317
Request for address change will be approved only if the change meets the following
criteria:
The change of address will not create confusion.
• 4�.' Only the LAST DIGIT will be considered, `
'0� The odd/even addressing system will be maintained.
4,./Suite numbers must be NUMERIC.
7'. The change of address will not result in a public safety hazard.
16 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.
Signature Date
•
•
4152-o
aUre/.Yo
•
•
• Attachment to
CHANGE OF ADDRESS FORM 10/4/05
RE: 1601 S. De Anza Blvd / APN: 366-10-132
We are requesting the city recognize these additional suite numbers
1601 S. De Anza Blvd. Ste. 111
1601 S. De Anza Blvd. Ste. 115
1601 S. De Anza Blvd. Ste. 118
1601 S. De Anza Blvd. Ste. 212
1601 S. De Anza Blvd. Ste. 213
1601 S. De Anza Blvd. Ste. 230 *** most important***
Per the US Post Office, the city already recognizes these suites:
Suite 100
Suite 148
Suite 165
Suite 168
• Suite 200
Suite 201
Suite 217
Suite 215
Suite 221
Suite 248
Suite 250
Suite 260
•
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