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333 Budd Ave. .INTER- DEPARTl'.'1EIJT;".L !.m!lOR!-I.NDilli TO: Building Dep?rtment FHON; Public l'?orks Deparanent The requirements ox the Public 17orJ\:s Departrnent have l)een sa'c5.ofied for the follmving development:: '" 'DPLJ'C" ~'¡rn '/--/ i~,' J/- [\ <" .NL -, ~tH-'....._-I'/ ;.'/~' I' .-> ;/;'1/1.- (¡5';"" rE-7r.,;r.-.J BUILDIRG ^DDRESS -;? ...~. ,..... ;." <:'....::"" ...p --... '.. V~ --",,;.J ";"" ,-:\ --¡;":' --,_... cOlnny ASSESSOR'S P l'.l\CBL NOMBEH c1' 0 :::,.- ~~' .S' --.¡.., / l... ~- '-'--,-. "s" APPH.OVhL NUf'!'illETL-_,- ", J ~ ,'\ --,--- ~ PUBLIC KŒUCS Pll..Y~ NlJNDBr~. ,.-,. i c:¿ _L':...~.~-J.. ~ q ¿'-.....__:_,------ \\1 ILL T.!"H G <, VtRJ:~I-J r DIrŒC'J.'OR OF PUDI.J!C HO1\l<S ?' ,,: ':/':/ , / ~ By .. ~:' ~¿..~~~~- ~/,/. -' ---- Da te.. :3-.-=. c¿ - 7 ~ . I I , Y ~/ \.; \) ~/-,...r-'-.... \ \ . , ,'\\\ \\\\"\" , j Pull1 c \~orks ""-"""'-"',.. r~ay 10, 1979 " .. ',....' ',', ". MR. THOMAS G. HA~1BlETON 333, Budd Avenue Campbell, CA 95008 Re: BUDD AVENUE IMPROVEMENTS Dear Mr. Hambleton: Your letter dated May 3,1979, has been referred to this office for a response. Enclosed is a copy of the agreement which you and the City ex- ecuted in 1976. Please note that in paragraph (2) on page two of the agreement, on1y paragraphs (1) through (7) are to become void after a lapse of 24 months. The other paragraphs are to remain in effect. Therefore, we are unable to comply witÞ your request to cancel the agreement. Very truly yours, BILL M. HELMS ENGINEERING MANAGER By James Penoyer Engineering Technician Enclosure \ ",,7 i" / , \.. ~ \f)í ') '-/ J ,¡Ç ~-r"-> /' ' .f"p' /'- .. ') '-' ('/o/L (, -íL ¡" ,~ I I - I¡')jr-"( - '-> ¡:r"'....J 6 1<- '> . f-'(" v /Î .j-be , .~J' ,.----), y/ /! ý:;x,c:/I (~~/\' '. ') L./'-/ C ,:-> JP : V\'l C.LeAk, c-i.Æ.q of Caf't1fJbell, 7) N. C~ five., CcunpbeLL, C olÄ.i . 133 ¡:Judd live., Car.1f'beLL, Co);..I., NCUf 1M, 1979. :J luwe been adv-iA.ed -to ,?e/t -in toVl.d1 wWL 11°tM- °il-i..ce -in /rÆ.{;~ to a b~ on I1Uf plWpe/tÂ:~1 located wt 111 /3udd five., COJft{Jbcll, ptcæ.ed on t1Uf plWpe;-àf ¡:Jwtel~ 14, 1976: plvWk. .to mq ob:t.wù~ a peÆí1Ã.,t to bu-Ud a /WU4€-. R coPI1 ot w~ 110u have -in 110wt, oti-i..ce - Í'çi(V (100). Y 'Jo&ted a tJ»o l1ewt borz.cl .to cove/{, tJvi4. b~ whUj¡ e;(¡Jvved /iìcvuYL I ó-t, 1978. 1\~1 nou'b11 m,e wt ;f;}¡,e cJ.;oue ad~ when :the b-üul&r.. ho-ó- been k-eJwued, W1,- a ¿iÆn aq-oM14 ¡Itlf (J/WPe4Ûf. f) r;rr"p!';O ...::::. \,,- ~., , ... Ei,LlOfT II HANDLI~~G -- HELMS I "O"UR'J"O ...-k..':'::.-'" ,- , : ')'cr:, RD 1-- I .-,11-, '-"-'--.., -, .',-: ; " c¡ r-¡ I' ¡ "1'--- -1 , CA~E I J , 1- i: _- ¡ I i, I I-Ill I t c ;. ",,) , .' Ii hL>' ':;, , ,i '..1 ¡<t?/1P ec,t/U)~, f / I/~ ,/, /. //7- ,.~~,t,d /::1 #~_¡i¿¿A~/ .... ¡¡.'. - "t.. (~ ' A G R E E MEN T --------- THIS AGREEMENT, (identified as No.RIN(lQO}nade and entered into this 12th day of Apri 1 , 19 76 ,by and between THOMAS HAMBLETON , hereinafter referred to as "OWners", and the CITY OF CAMPBELL, a municipal corporation of the County of Santa Clara, State of Cali- fornia, hereinafter referred to as "City". WITNESSETH: WHEREAS, OWners did heretofore on January 12 , 19 76 , apply to City for approval in order to obtain a building permit to construct a residence upon that certain real property descrbied by that certain Grant Deed recorded January 6 , 19 76 , and filed in Book B823 of Offici~] Recordgit page 610 of the County Recorder of the County of Santa Clara, State of California, which property ,is hereinafter referred to as "said real property"; and, WHEREAS, City did consider said application and grant its ap- proval thereon subject to certain conditions thereof as contained herein; NOW, THEREFORE, IT IS MUTUALLY AGREED TO by and between the parties hereto as follows, to wit: (l) It is agreed to that OWners shall provide, construct and/or install at their own property cost and expense upon Budd Avenue throughout the frontage of said real property public street improvements consisting of, but not limited to, the following: FIRST: Provide and construct City of Campbell standard curb and gutter, residential sidewalk and driveway approaches, consist- ing of Portland Cement Concrete, as shown upon the improvement plans for said real property approved by the City Engineer of City. SECOND: Grade said real property in accordance with approved bui 1ding plans.. THIRD: Provide and install City of Campbell standard street light electrical underground conduits with conductors and junction boxes, all as shown upon said plans and as approved by said City Engineer. FOURTH: Provide and install or cause to be installed a water distribution system to serve said real property as shown upon said plans. I of 4 ,~~-.._.,-=-~,,~._~~~..--,.-_.-_.--~-.~."~~ ".... ~",.,-~---,_.., ..","- - -- ",-"',' ".." "-'.' "'-' ' H '. (' FIFTH: Provide and install a sanitary sewerage system to serve said real property as shown upon said plans. SIXTH: Provide and install an underground electrical energy system and an underground telephone system to serve said real property. SEVENTH: Provide and plant a street tree of a variety and size as shown upon the plans and as approved by said City Engineer. (2) It is further agreed to that Owners shall provide and construct and/or install all of said public street improvements when Owners are so notified to do so by said City Engineer of City; provided, however, that should the City Engineer fail to so notify Owners to construct and/or install said improvements within 24 months of the date of this agreement, paragraphs (1) through (7), inclusive, shall be considered null and void. (3) It is further agreed to that all of said improvements shall be constructed and/or installed within twelve (12) months from the date that Owners are notified by said City Engineer to do so; provided, however, that in the computation of said twelve- month period, delays due to or caused by acts of God, viz., un- usually inclement weather, major strikes, other delays beyond the control of Owners shall be excluded. fail said days said from It is expressly understood and agreed to that if Owners shall to complete the work required by this Agreement within the period of twelve (12) months, the City, after giving ten (10) written notice thereof to Owners, may construct and/or install improvements and recover the full cost and expense thereof Owners. (4) It is further agreed to that Owners shall prepare or cause to be prepared at their cost and expense improvement plans for the construction and/or installation of said public street improvements, which plans shall be prepared by a civil engineer licensed by the State of California, which plans shall be sub- mitted to City Engineer of City for his examination and approval and which plans shall be submitted to City Engineer when Owners are so notified by said City Engineer. (5) It is further agreed to that the construction work of the improvements embraced by this Agreement shall be done in accordance with the Standard Specifications of the Department of Public Works, Division of Highways, State of California, dated January 1973, and in accordance with the Specifications of the City of Campbell and Sanitation District No.4 of Santa Clara County, where indicated. t>lHEREVER the word "State" or words "Division of Highways" are mentioned in the State Specifications, it shall be considered as referring to the City of Campbell. Also, wherever the "Director" or "Director of Public Works" is mentioned, it shall be ,considered as referring to the City Engineer. 2 of 4 " - --~~ "-_.~~ --"<-",,,~._.,-.- .. --....-..............._.....,...................~---c-..-~~ "--'~'~---" ~7'---_...,.~,..~~._..,..-""---,.--.-,,.~"'" , .0#. (, ' í' \, In case of conflict between the State Specifications and the Specifications of the City of Campbell and Sanitation District No. . of Santa Clara County, the Specifications of the City of Campbell and Sanitation District No.4 of Santa . Clara County shall take precedence over and be used in lieu of such conflicting portions. (6) .It is further agreed to that Owners shall deposit with City, when called upon to do so, for office examination of improvement plans, field inspection of construction of improvements and all necessary expenses incurred by City in connection with said improvements and all necessary expenses incurred by City in connection with said real property the sum of EIGHTY-EIGHT DOLLARS ($88.00). (7) It is further agreed to that Owners shall file with City, upon execution of this Agreement, a bond in the amount of TWO THOUSAND FIVE HUNDRED DOLLARS ($2,500.00) to insure full and faithful performance of the construction of all the aforementioned improvement work, excluding sanitary sewers and water distribution system. Said bond shall guarantee that Owners shall correct and defect which may appear in said work within one (1) year from the date of acceptance of the work by City and pay for any damage to other work resulting from the construction thereof, as well as paying the cost of all labor and materials involved. This bond shall remain in full force and effect until one, (1) year after date of final acceptance of sai~ improvements. (8) It is further agreed to that when called upon by City to do so, Owners will execute a petition for the formation of any special assessment district created pursuant to any special assessment act as provided in the Streets and Highways Code of the State of California created for the purpose of constructing and/or installing any or all of the public improve- ments herein described. (9) It is further agreed to that Owners shall partici- pate in and become a part of any special assessment district as described in paragraph (8) of this Agreement. It is expressly understood that any obligations 9f Owners contained in this Agreement that are accomplished to the satis- faction of said City Engineer by said special assessment dis- trict shall be considered null and void. (10) It is further agreed to that Owners shall make such deposits or file such bonds and enter into such agreement as required by Sanitation District No.4 of Santa Clara County to insure the installation of a sanitary sewerage system to serve said real property. I 3 of 4 ~- --------.,-c'-"~"-_. .'..u_, "- -'-~ ~-'....,..-_.-.._-' . --,~-,,_.-~--'--,-,"-_._'",' '... .-""-.-~_..,,, .. ,"'" , , ' Ji 0&" C'\ {" t. (11) It is further agreed to that Owners shall make such deposits or file such bonds and enter into such agreement as required by San Jose Water Company when called upon to do so to insure the installation of a water distribution system to serve said real property. (12) It is further agreed to that the storm drainage area fee in connection with said real property and in conformance with the requirements established by Section 20.16.060 of the Campbell Municipal Code is in the amount of THREE HUNDRED TWENTY-FOUR DOLLARS ($324.00). (13) It is further agreed to that Owners shall indemnify and save harmless the City of Campbell, the City Council and the City Engineer, and any and all other officers or employees of City from any suits, claims or actions brought by any per- son for or on account of any injuries or damages to persons or property sustained or arising in the construction of the on- site work due to any acts, omissions or negligence of Owners, their officers, agents, employees or contractors. (14) It is further agreed to that the above-named terms and conditions shall bind the heirs, successors, administrators or assigns of Owners. (15) This instrument is and shall be considered to be an instrument affecting the right, title, interest in or posses- sion of the real property hereinabove described. . IN WITNESS WHEREOF, said City has caused its name to be hereunto affixed by its Mayor and City Clerk, thereunto duly authorized by resolution of the City Council, and said OWners have hereunto caused their names to be affixed the day and year first above written. . CITY OF CAMPBELL Ralph Doetsch, Sr. Mayor Dorothy Trevethan City Clerk ~c¡ l,¡";'"l>,"', ' ;~,' (J~",," G., ,f~ CJ'~ w~Q~ ~,""(;)~ G'i~ Q;!) ~, ~ " ,,-0,,- 01~I:IrI "1 SE A T " ,/' - '" ~ ,,", :u.. 1:) /,,~J,r~:; , ' " , (,; ':-'",:':');0'" !,LCE I. pur,CI,~ f1 .;¡ ',,~.-.:,:""i^ '^-'-" "'(C,", ø , ',,~-, ,'/ r,_qr",j I"'~..",C. CAciFORNIA Ç) ;'I "', (l "',' ',.,:,:"" $",;,'-1'\' 1"11=',' COi"'TY a ' ,~,' ""_"0;\11 ".~ ' ~ ^ ! Mj C,~mm¡~:;jcn Ex;;::e~ °h23. 1977 a ~ ,:3 ."~Ø'f~:i.iJ:':f<?G! (Notary Certificate) OWNERS ~~~ . Thomas Hambleton . \ 4 of 4 ".~~-~~~_....~'-...-"~.~ ._~--~~-'c---:o' .. ,~~~"",~~:~-,-"----,~~-,,,,--,-,,'~~-'-'~""'-"" , 4068 RESOLurION lm._____.--- BEING 1... RESOLl3TION AUTHORIZING EXECU'I'ION O~' THO!-11\S HAMBLErrON AGREEMF.,NT WHEREAS, there has been submitted to the City Council by Thomas Hambleton an agreement for the development of his real property in accordance with prescribed conditions; NOW, 'l'HERBFORE, BE IT RESOLVED by t.he City Council that the Mayor be and he is hereby authorized to execute the said agreement on behalf of said City. PASSED AND ADOPTED this ~--~~~- day of --~~-_._" 1976, by the following vote: A x'ES: Councilmen: Chamberlin, Hammer, Paul, Podgorsek, Doetsch NOES: Councilmen: None ABSENT: Councilmen: None APPROVED: Ralph Doetsch, Sr. Mayor ATTEST: Dorothy Trevethan City Clerk TO iNITIAL & DATE '~~~'~ BMH FfL- RlD 1LEæ.~~ '...../\ Fil,E ,- MEMORANDUM CITY OF CAMPBELL Bill M. Helms, Acting Director of Public Lawrence C. Versaw c)J Engineering Techni~n I To: From: Works March 18, 1976 \l'~ pc-J 1"":- ~ I L ~! Subject: Hambleton - 333 Budd Avenue - Rin. (100) ---------------------------------------------------------- As closely as I can recall the following reflects the sequence and approximate timing of events dealing with the subject project. 1. 2. LCV:dn January 12: for permit. Owner applied to Building Department January 22: Building referred Owner to me and I explained our requirements (standard-dedication, agreement, bond, storm fee). Owner objected to dedication specifically, and everything generally. 3. January 27: Wren's meeting with Owner results in decision to delete dedication. (about this time, or prior to this time Owner met with Norm Paul) 4. February 1: Furnished Owner with agreement and bond forms. Owner objected to "no time limit" bond. (I'm aware of a subsequent meeting with Hammer, I guess you know all about the rest) 5. February 17: be used. I was informed of 2 year limit to 6. February 19: Furnished Owner with new agreement, etc., together with attached cover letter. 7. March 2: Received the agreement and bond with un- recordable notary certificate; notified Owner who picked them up. 8. March 9: Received agreement, bond, and storm fee; released building permit. (permit issued same day) 9. March 11: Owner applied for/received an excavation permit for curb cut and A.C. driveway approach. " .. , ~, ,i:" , ',:,',':>:,',,:' ,/,,';, ,:".'",,¡,: ' , ;., ,; <¡,,'.';., . ',,' ., , .",' ' -,' '. . :/:«'-:::;:: " " '. >, .. .. ..' , ", :',:"'.' ,".' . .. ,,'.,', " ' , ' . .. , , ': :",.,,:.;; ',', ',",', ' , " , ~.~~ii:~~::~ Hf:Jr.'.;,~; '.i?'t".t~ t9 ';~', ':;:?: ':: :. 735 ChemekeU. Court S~'Jos., California' 95123' . , ., " ,"'.' ,', ~: ';':" ',.-., . ¡ , , . .', ,', ,'J >:", " ." , ': :, .. " SUBJEC'¡' 8 Release óf Buildinq Pmit 'for 333 Budd Avenue '.., '; " ' Deai~.Bambletonl , , , " ., " ',' " ' " " ;,.;:-- 'Enclosed pleue find thr" 'copies of the revisè4 àqre~t fortbë ';', súbjéct: developnent.' Please not. that paragraph' (2) bas been modifieð , .': to l1:øiii:;the t~ of your obl19ation to build street lmprove:œenta.' '" " :::' " ': " " ,'" ':'," "..' ',:', , ' IJi order for this Ðepart:ment to release yourbuilèl!n9 permit, we will neecs'the fo11ow1n98 ",." ,', ' , , ' , , , 1. Two signe4,notarised copies~f 'the agreement. "'the faithful performance boÞ4, : ($2,SOO). 2~ 3~ The storm drainaqe area fee ($324). , Should there be an quest.ion, pleas. call the unðerslgnedat 378-8141. extension 220. Very truly your., BILL ,)I. 1æUIS" ',' 'BHGT~ MANAGER,' '-:-~ ~ UN.aa fI By Lawrence C.' Versa", -,.ineerin9 ttec1m1c1.aD .% ! , , ! .. ,A ,..:: , ' ,', ' , '. . '. ,~. CITY OF CAMPBELL STREET EXCAVATION PERMIT NO. ß. 7ro -'Z3 /ðo //.~ Pursuant to the terms of Section i:'!m of the Campbell Municipal Code, a permit to excavate within the public right of way in the City of Campbell is issued based upon the following conditions: 1. the work to be done within the public right of way is as follows: . 2. A diagram is attached and thereby made a part to each of these forms showing the location and dimensions of tile work and relating this to existing underground facilities. I Work will begin on . beginning work. No street shall be closed without full conformance to Section 7106 of the Campbell Municipal Code. 3. 4. 5. , 19 7~ . or notifY the Campbell City Engineer 24 hours before 6. Safe crossings shall be maintained in conformance with Section 7105 of the Campbell Municipal Code. (These blanks to be filled in by the City Engineer.ONL Y) a. t,¡1~~ op.¡:g t;;H:::I 11 ..... S!! ~ ~~=rnn g c+...."d!2:~ CÐ . mCÐocn . ~o t~ >-3~ OI»H>P"""Htz¡ Þ--C+HoC+!::~ \DCÞPH.lC+;.:g~ UlOp. °H::1' .....~g~tz: t:"jPo' ~nc+p.><~co I» 11 ~,~ E P -"""",co-"",o """Po'C+<c+ -Hl"""1Po'::rc+ ,þ. 0 .... c-t a' ~'1::øSl'CÐC+CÐ ""'pCÐ.....=::rCÐ -...."", """P ~SI'l»cngtD \D ~~p>,; g. ,þ. Ocþc+CÐCD .'.. pc+SI'110 Oí tD~OB o;' C+"""CD ~ uc+p, 01 ' " rn ~ 7. Special Conditions: 0 Import backfill material as required by City Engineer. 0 Replace existing roadway structural section with equivalent type and thickness of material plus one additional inch of asphalt; or 4 inches asphalt over 12 inches R-78 base rock, whichever is greater. 0 Work to be completed prior to occupancy of structure. D Work to be staked 3 feet back of face of curb by a licensed Land Surveyor or Civil Engineer and three copies of the cut sheets sent to the Public Works Department before starting work. 0 Open cutting of pavement will NOT be allowed; all pipes or conduit shall be jacked under existing pavement. 0 r7i;;fE::~~:;:::~~.~~~~!~~--/ 7/' c;7-/ 4;/~Æ¿ /;;/;7/,~/~) b. Deposit (money or bond) required to guarantee restoration of public right of way. $ .z~ø ~d'~/ The deposit in 6b above will be returned, in full, upon satisfactory restoration of public right of way. -7~.,..t;~ ~,.~ /.e::>tO 8. The Permittee hereby agrees, by affixing his signature to this Permit, to hold the City of Campbell, its officers, agents, and employees free. safe, and harmless from any claim or demand for damages resulting from the work covered by this Permit. 9. Acceptance of the Permit by the named Permittee constitutes acceptance of any and all conditions upon which this Permit is granted. This Permit does not relieve the Permittee of any obli tion to obtain any other Permit required by law. ~!tJ-ß'ç (date) ACCEPTED (signa ADDRESS J 3 J R f/ Il {J check one: APPROVAL: of ermittee) ~ ~es.denc~ or ASSOC. CIVIL ENGR. DATE DESIGN: 3 Copies: Permittee must sign, date and forward to City Engineer for approval. Permit is valid only after signed by City. Permittee Permit is not transferable. City Inspector ~ J/! N 100 (M) 3/12/76 CITY ENGINEER'S CONSTRUCTION COST ESTIMATE FOR LANDS OF HAMBLETON - APN 405-35-41 1. Clearinq and Grubbinq: a. AC removal: 41 sq. yd. @ 2.50 b. sawcut: 75 In. ft. @ 5.00 2. Earthwork: 12 x 75 x 0.5 27 = 17 cu. yds. @ 8.00 3. Underqround Street Liqhtinq a. 1 1/2" rigid galvanized two #8 AWG solid copper 75 lin. ft. @ 5.00 System: metal conduit with conductors: 4. Concrete Construction: a. Class A, PCC curb and gutter: 75 Lin. ft. @ 5.00 b. Class A, PCC sidewalk: 259 sq. ft. @ 1.50 c. Class A, PCC driveway approach: 181 sq. ft. @ 2.00 5. Misc. Surface Improvements: a. Street trees, five-gallon size: 1 @ 28.00 b. relocate sign and post: L. S. 15% Subtotal Contingencies TOTAL 1. 2. Use $2,500.00 for bond amount. Plan examination and construction inspection fee is $88.00 Storm drainage area fee is $324.00 3. = 103.00 375.00 = = 136.00 = 375.00 = 375.00 = 389.00 = 362.00 = 28.00 50.00 2193.00 329.00 $2522.00 = , ~I "'I '\:i ~ - ~~ ~ MAROn R, \:i PARCEL 1'~PÆRc:...EL ~o ~ ~ SANDl/?S ~ "C' ~ -8" I\¡ , .. C\¡ BOOK .505.1 II,¡ r :... PAG¿:14C ~ ~- ~ ,"'" ~ /.43/Ac, I~ o.-;'2,Sk. ~O4 4Ac,~ O.6/".9AC, ~ :-- ,', \) ~ - .. '~~~, " '~ \'~.2' ,,\'-c,'i'I!$S' """,., :--, /. ~ . ~ \ E'::;'-(>~SS EASE ,') ~ ~ ':<1, , " \ ~ ~ 1 ) ¡ l # \. ,¡ I l ' 225. ~:r 75'.00' // 75" ':J' 11000', - ," ' ! '~ ~" (.;~' -. N ~O' A:>'""O'- "'as - - 0 ' -., 'O,;¡.. 'fJ I 'C'J./!JC" "'I ,:'..; .?1/.:5' \ ~ \ ;:>o.~S' OJ ""'" """:: 7" ,10:1 ,- ~ '", 0.-:,,::' .. ' $ . -'l{/lJ..,___~..Ll'¿~..!:!!..l,/!;,--_-'::<:~~'::"" ;:_- \8!.." A/t:'O'.J:>"':-"""", .to;, ,...', -...~, -/:",,": '=> 1\".'" "".---."" ~ '°." J ,~ ".' \ ...\ . .~" _. '.' " \ -\ ,t " '-, þ' (~ :' Q..' , '" ,\) 1\1 Z~) , , '! c) , . 1'. } ~~ '" '~ \ \ \ \ ~ ~\, " ~ ---- . ' '. -.. , -.' : ,:::~ ;;°", ':' . ':.:,',": i,;:,~ :~~: ';?:~':'?EN!;~,: ~:~r:.~ ~-:: ~~ ." " , -, .." .0 .) ~ . ~ , " h\\('. W<Ã~\P \<t-.\-oV) Z2l - 442 '2.. - :, " (', " ,Y. ' . ~ r ,- ,0 ',' ' ..' CAjVJPB£~L ØV/D./lr' SChl[;'OL O/5T./l/CT ~/Ir-r.Jr;J\/ //!A'r" --r,'/"'j/¡/ u.l7G.r1rJ.I -'JrJ/!/!:. :>,--,'/-jvV~ "ì 4J: ~¡ ~: CI)¡ .' "', ':"-:- ~:, I N 89 ".:F4'O3-':: .i!78.7I' . ¡ _EL ~i <1 /' ~¡ ~¡ '-Ii ~: ! I (' ,"' "C" ; .:..~ ,.; (~ }) I ,( f I I CAMIN/TO .,., ,- ¿.c .-, l .~:. , ¡ - t' ---1 ./:' g J ¡ Ý I ! I I I 2:~~,' .5'..5'7 83' -' 75'.00' 109.11' .", ," ;-..\0' J ::) RECEIPT CITY OF CAMPBELL CAMPBELL, CALIFORNIA NAME </ L~ ~^ 'd~/~ ADDRESS /'7 ~;f;?4?te- /~¿¿ ~ /¿¿~ ~ ~~J~ ~~)~ ,;] rý' 00 REVENUE ACCOUNT NO. c:3ç;~ /f FUND NUMBER (Va ~ CHECK q,-,~ r&rð 0 MONEY ORDER 0 CASH DATE AMOU NT THIS RECEIPT MUST BE MACHINE VALIDATED AND SIGNED BELOW, MAR 10-76 MAR 10-76 028 **** 3211.00 6S 028A ***324.00 Œ>s 5130 ~ ¿:fL)ç" oem Tank You CITY OF CAMPBELL CITIZEN COpy