CHANGE OF ADDRESS, SUITE #120, 130, 150, 190, 350•
CITY -OF
CUPEI�TINO
City of Cupertino
10300 Torre Avenue
Cupertino, CA 95014-3255
Telephone: (408) 777-3228
FAX: (408) 777-3333
BUILDING DEPARTMENT
OFFICIAL NOTIFICATION OF ADDRESS CHANGE
TO: All Agencies
FROM: City of Cupertino
DATE: June 20, 2006
RE: Address Change (APN369-01-027)
16
Please note the following address change: 20450 Stevens Creek Blvd, Cupertino has
added the following suite numbers, 120,130,150,190, & 350. 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
Printed on Recycled Paper
l
Pap e 1 of 1
RECEIPT # : 34695
RECEIPT DATE : 06/06/2006
CITY OF CUPERTINO
MISCELLANEOUS RECEIPT
PRINT DATE 06/06/2006
PRINT TIME 09:38:55
OPERATOR counter
COPY # 3
RECEIVED BY counter CASH DRAWER: BS1
REC'D. FROM LOPEZ
USER 1
USER 2
NOTES : ADDING SUITE NUMBERS -20450 ST CRK 4120,130,150,190,350
FEE ID AMOUNT THIS RCPT BALANCE
---------------------------------
ZADDCHG 268.00 268.00 0.00
-------- -------- --------
-------- -------- --------
TOTALS: 268.00 268.00 0.00
MWD OF PAYMENT AMOUNT NUMBER
------------------------ ------------------
CHECK 268.00 5478
TOTAL RECEIPT 268.00
3645 0/ Oz %
0
Community Development Department
City of Cupertino
10300 Torre Avenue
Telephone: (408) 777-3228
• Fax: (408) 777-3333
40
•
CHANGE OF ADDRESS
n REQUEST FORM
NAME (please print): 0 Ll- el -+4 J Q 01t\
TELEPHONE NUMBER:
0 l o / �J D t I
APN:
EXISTING ADDRESS: �! D �-� S S I CU PLIC l�l� f P—% V
►11� i7t Z -V900100-019:193
IaOI 13a,1'�-D' I P a •+-
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 $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 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.
lit' �
t r Date
Revised 10/16/02