88-202
CIon OJ' C>>lPBBLL
1)81"1'. or l'UIILIC WORD
70 _orth J'ir.t st.
caapb.ll, ca 8S001
(401) '''-21S0
PUBLIC WOR~ PBRMI~
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REFUNDABLE DEPOSIT
CHECK REQUEST
TO: FINANCE DIRECTOR
CITY OF CAMPBELL
Please issue check payable to:
Galante Brothers
(30 spaces)
(30 spaces)
(30 spaces)
State: ...c.a.. Zip: <)51/0
(2) 00 spaces)
(24 spaces)
Address:
Line 1:
7107 Raich Drive
Line 2:
City:
San Jose
(20 spaces)
Description:
Cash deposit refund
Exact Amount Payable:
$500.00
Account Number:
905.4662
PURPOSE:
Release of cash deposit for excavation permit 88-202. See receipt
No. 20376 of ~. 2,/(~/f6'
Requested by:
Gregg Eaton
Title: p . I'\1. Inspector
Date: 2/7/90
Approve.d by:
Bill Helms
Title: Enqr. Manaqer
Date:
Verified by:
Accounts Receivable
Date:
SPECIAL INSTRUCTIONS FOR HANDLING CHECK:
Mail as is
x
Mail in attached envelope
Return to:
(Department)
(Name)
Other:
08/24/88
TO: City C I e rk
PUBLIC ~JORKS FILE NO. 5? a-;ZD2..
Please collect & receipt
for the following monies:
(specify project)
Pvr.m.{..t e.M :
R-1 :
($'35)
($200)
;t eJl.:
($ 50)
'( 500
(4% of FPS)
($500 m in. )
(]% of FPS)
($ 35 min.)
Depos it
Gflb
05W
J373
3373
Plan Check & Inspection Fee
Other Cash Deposit (specify)
3372 Tentative Parcel Map Fil ing Fee ($350)
3372 Final Parcel Ha Fil in Fee ($300)
\72 Tentative Tract Map Fil ing Fee $ 00
J372 Final Tract Ma Fil in Fee ($350)
3372 Lot Line Ad.ustment Fee/Certificate of Compl iance
3372 Vacation of Publ ic Streets and Easements
3372 Assessment Segregation or Reapportionment
Fi rst Spl it ($500)
Each Additional Lot ($150)
3372 Environmental Assessment:'
Categorical Exemption cost
Ne ative Declaration
3370 Storm Drainage Area Fee per Acre Multi-Res.,
$2,060; all other, $2,250)
J395 Park Dedication I~-l ieu Fee per Unit ($1,132)
3380 Publ ic Works Special Projects
3510 Postage
TOTAL
AMOUtn
$
50. dc>
~s.oo
DD,OD
S5g5.{)O
PH:lNE ;(~ 9, - QS'S-7
NAME (;.Q. (Cl7'\-~ 6 rOT~--5
ADDRESS '7 I 0 7 ICc-c ~ c: f- IJ r I (/~j, ~Sc~ -:r;;~_
,
ZIP 9'5/~D
FOR
C I TV CLERK
QIlLY
RECE IPT NO.
c20370
~~3~-~~:P
~ .
cg-q~S%"
~ PAID
RECE 'VED BY
DATE
July, 1987