Tree Removal Permit - Withdrawn -2017Vendor #
(Finance Use Only)
City of Cam.,pbell -Check Request
City of Campbell -Check Rec 2001 Gateway, Suite 101 E, San Jose, CA 95110
To: Finance Director
Check Payable To: Campisi Way Associates (35 Characters)
Address -Line 1: c/o South Bay Development Company (35 Characters)
Line 2: 1690 Dell Ave (35 Characters)
City: Campbell State
Description: Return of application fees (TRP-3 trees) (25 Characters)
Invoice Number: Invoice Date:
Total Amt Payable: $443.00 (Exact Amount)
CA Zip: 95008
Account Number: 101.551.4660 Amount: $443.00
Account Number: Amount:
Purpose: Full refund of application fees for TRP to remove 6 redwood trees.
Application withdrawn before work began by staff.
PLN2017-167 -Receipt #269595 -Received 5117/17
Requested by: C nn Title
Approved y: Title
Mail As Is:
Return To:
(Name)
Exec Assist Date: 06109117
Comm Dev Director Date: 06/09/17
Special Instructions For Handling Check
X Mail in Attached Envelope: Interim Check:
Needed By:
Other:
(Department)
f/n: Forms/Excel/Check Request -Revised 9199; 7/05; 3/Oi