2190 S. Bascom Ave. (73-32)
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INTER- DEP ARTMEnrrJ',L MEllOP""n.i'TDill'l
TO: Building Department
FROH~ Public If!orks Department
The requirements of the Public v~rks Department have
been satisfied for the following development:
APPLICANT /208E/2T ~-2A 5S>Y?Ey.t=:e
BUILDING ADDRESS_ 2/90 0UT?/ ~~~~5~--L)~'- ,(fj~L~^-.JVC
cotrnTY ASSESSOR'S
PARCEL Nut-mER
2 60- S-~- D/C) f/ OZc)
usn APPROVAL
NUHBER
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. PUBLIC l'!ORKS
FILE NUX,IBER
LE/&H'5:
WILLIAN Go WREN,
DIREC~OR OF PUBLIC wom<s
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By --L1~t'.(;\/ ;.L..:,;;.'f;I [' /(1 ~::f:2 /
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Date~:;:~@:<;.:fC-~ ?~~t /9-;73
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RECEIPT
~ ITY OF CAMPBELL
CAMPBELL. CALIFORNIA
FO)21
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RE.VENUE ACCOUNT NO.
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;f-
o MONEY ORDER
o CASH
DATE
AMOU NT
THIS RECEIPT
MUST BE MACHINE
VALIDATED AND
SIGNED BELOW.
JON 13-73
JUN 13-73
000 *****50.00
5 oooA ****50.00
1305
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,/ ,C-" /I CITY CLERK
~~k You' v'
CITY OF CAMPBELL
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CITIZEN COPY