1589 S. Bascom (72-19)
INTER-DEPARTMENTAL MEMORANDUM
TO: Building Department
FROM: Public Works Department
The requirements of the Public Works Department
have been satisfied for the following development:
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Al'PLICANT T~CA l' CUI3-~,.//5rC_ C-e,..-~ C~
BUILDING ADDRESS
COUNTY ASSESSOR'S
PARCEL NUMBER
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.. S If APPROVAL
NUMBER
PUBLIC WORKS
FILE NUMBER
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WILLIAM G. WREN,
DIRECTOR OF PUBLIC WORKS
By ~<<~ :?jL
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CITY OF CAMPBELL
PLANNING COMMISSION
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APPLICATION FOR "s" APPROVAL
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In accordance with Section 21.42.010, Chapter 21.42 of
the Campbell Municipal Code of the City of Campbell, the
undersigned hereby makes application for approval of the
attached plans.
1.
The said improvements will be located on land
described as follows:
(insert or attach legal description)
2.
The nature anj. pu!'pos e 9f th~_ oro.p~s,-ed.. imJ?~2vemen t s
are: S70e ~\L,c 0 r L\J'~'" ~ \::::;C;.~)\ f. '1 ./LJI VI. Co,;,
(The applicant should attach a written statement
setting forth ~y information he believes will be
helpful to the Planning Com~ission and other City
Officers in considering his application).
3.
The proposed improvements will cost approximately~
($ "7 ~ C';C-~ )
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Applicants must attach four (4) copies of the site
plans and elevations or proposed improvements and
one (1) copy or floor plan indicating use of
building in~square footage; i.e, office, warehouse,
manufacturing, storage, etc. One copy will be retained
by the Planning Commission, one by the City Engineer,
and one returned to the applicant.
4.
5.
The application shall be accompanied 1;r a $50 .00 filing
fee.
6.
The City or Campbell requires ,installation or all
utilities, including electric, telephone and television
cables to be underground.
Plans should be made
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- Signature of Ao.p.licant
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Address of Applicant
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City St~te
Filed in the Office of the
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Zip Code
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Telephone No.: