2175 S. Bascom Ave. (77-14)
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INTER-DEPARTMENTAL MEMORANDUM
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TO:
Building Department
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FROM: Public Works Department
The requirements of the Public Works Department have been
satisfied for the following development:
APPLICANT 1/\", \\\/\~':\\'- ~
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BUILDING ADDRESS ..L~ l . ~
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COUNTY ASSESSOR'S: 7 /.'
PARCEL NUMBER 4 \.....::;J -- ~ 4
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nS" APPROVAL
NUMBER
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PUBLIC WORKS !
FILE NUMBER [y\ c. l'l,
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JOSEPH ELLIOTT
DIRECTOR OF PUBLIC WORKS
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RECEIPT
CITY OF CAMPBELL
CAMPBELL, CALIFORNIA
NAME~zL' 4Ihc~4/ &lij
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REVENUE ACCOUNTNO.
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FUND NUMBER
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o MONEY ORDER 0 CASH
DATE AMOUNT
THIS RECEIPT
MUST BE MACHINE
VALIDATED AND
SIGNED BELOW,
JUN -8-77 011 *1dn'rZ33.00
JU:I-G 77 65 011 A **'t.-Z33.CO
113 32 BY
CITIZEN COPY
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CITY OF CAMPBELL
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