1179 Smith Ave. (1971)
P~'1-E5
INTER-DEPARTMENTAL MEMORANDUM
TO: Building Department
FROM: Public Works Department
The requirements of the Public Works Department
have been satisfied for the following development:
APPLICANT H-/j/ L /;L)
BUILDING ADDRESS / /7C}
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5A~ /77/ Ai Vz?:'
COUNTY ASSESSOR I S A--
PARCEL NUMBER ~~'S -;1 - ~,2 /
"S" APPROVAL
NUMBER
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PUBLIC WORKS
FILE NUMBER
LC i/t7LL
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hi <:'
. . -..),
WILL~ G. ~mEN,
DIRECTOR OF PUBLIC WORKS
By' 4i,p^. ~L--
Date /.5/-?// G "2;; /9,7/
R E eEl P T )....;r..J2 ( .2_3)
CITY OF CAMPBELL lIS Ij
CAMPBELL, CALIFORNIA'
~ /7t:rC) <:':)
RE.VENUE ACCOUNT NO. c.3 d. 6
FUND NUMBER;!t ~
~ECK
.:fP c::L 7 t.
o MONEY ORDER
o CASH
DATE
AMOU NT
THIS RECEIPT
MUST BE MACHINE
VALIDATED AND
SIGNED BELOW.
OCT 17-67 013 ****170.00
OCT 17-67 66 013 A *** 170.00
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5563
BY
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CITIZEN COPY
Thank You
CITY OF CAMPBELL