2265 S. Bascom Ave. (71-61)
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 ~ L..6 t< - 1<:-- / ( 'I; l / "1 - c'
BUILDING ADDRESS -2~,-: ~:.~--- 0(._' 7 /-1 6~ ~L'(~')>I' A VL~
COUNTY ASSESSOR IS A 1 -? , .., ")'- d J
PARCEL NUMBERr/ ,'_/ . ~ :-.::' ~.. (;, >, .v-- , .r-i.')
.. S II APPROVAL
NUMBER
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---' /' -' ~.
PUBLIC WORKS
FILE NUMBER
Me ~7L /~_. 'e-L '/ Ie c'
WILLIAM G. WREN,
DIRECTOR OF PUBLIC WORKS
By /J:r~ 1:4 ,*r/L~,
; )'
Date IF cC /4, /972-
,
RECEIPT
CITY OF CAMPBELL
CAMPBELL, CALIFORNIA
""M.d."" -<i 4.) /C~~ ~--zz;~
ADDRESS 16 c A ~-?1('~--=/~
a-r.J ~- 7/7~f
I /
~' . 11 --y' $ 01
/y -' ? / 4L---/ .3 5-:[ ~
, ~v 6Lt~~i.e'-C2.j ~
/ ;r &.7 r/r ~J.~d~_
,.
FOR
REVENUE ACCOUNT NO.
3~/
/)'
FUND NUMBER
n:;;(. / " 1'0
~ CHECK
o MONEY ORDER
o CASH
,i
DATE
AMOUNT
THIS RECEIPT
MUST BE MACHINE
VALIDATED AND
SIGNED BelOW,
FES 14-72
fEa 14-72
1117 **.1,358.00
611117 A *.1,358.00
7028
<e>,
CITIZEN COpy