1614 Hacienda Ave. (76-22)
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INTER-DEPARTMENTAL MEMORANDUM
TO:
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Building Department
FR014 :
Public Works Department
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The requirements of the Public Works Department have been
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satisfied for the following development:
APPLICANT
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BUILDING ADDRESS
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COUNTY ASSESSOR'S
Pi~RCEL NUMBER
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~ APPROVAL
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PUBLIC WORKS
FILE NUMBER
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JOSEPH ELLIOTT
DIRECTOR OF PUBLIC WORKS
By
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RECEIPT
CITY OF CAMPBELL
RECEIPT
CITY OF CAMPBELL
CAMPBELL. CALIFORNIA
CAMPBELL. CALIFORNIA
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REVENUE ACCOUNT NO. é \......." -1--
REVENUE ACCOUNT NO. 35/
FUND NUMBER A
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THIS RECEIPT
MUST BE MACHINE
VALIDATED AND
SIGNED BELOW.
9941
CITIZEN COpy
FUND NUMBER h
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'-, '~K 0 MONEY ORDER
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AMOU NT
0 CASH
0 MONEY ORDER
0 CASH
DATE
DATE
AMOUNT
DEC -3-76
DEC -3-76
008 *****25.00
51 ooaA ****25.00
THIS RECEIPT
MUST BE MACHINE
VALIDATED AND
SIGNED BELOW.
MAR -2-77
MAR -2-77
004 **'***54.00
57 oo4A ****54.00
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B¿;? / /./} ( L - ~ CITY CLERK
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8507
CITIZEN COpy
Thank You
CITY OF CAMPBELL
Thank You
CITY OF CAMPBELL