Laserfiche WebLink
1 <br /> 711G TIFISS .................. ............... .....____-_—_____—_-_ <br /> I'ALII IfY 10MIAC1 It*' u <br /> Elk Horn Country C1ubL [ <br /> _ Elk Horn��ntry Club <br /> EEi A :r 5. <br /> 1 1 U Elk Horn Drive SIi�� �if4t7 �I_�gg �`o`r 209-477-0252 I <br /> Elk ---- <br /> T CITY - — - ---- i< <br /> si ockton, IOk'i1[I S5fQ9g I1 Tanl.s one <br /> [�W/11ILLINC <br /> al Site_..NAMEk Horn country Club 1PPLICANi C�I�TyI§TEang <br /> 9—.____..__.__.. Dal Bur essDRESS50 Elk Horn D1CveAPPLII+,fli PIIOIIE 1 "IT" ^•1• cooc_.. . 209-477-8896 or 209- 477-0252 <br /> - <br /> --'1111. 111 f p ..ockton, a I 952�$E f APPLICATION ` <br /> L'LOYU 1.0T.11A11'., [TC. <br /> 1 • <br /> fA1.1L1iY FEE ;'S I 0o.1--"" T� $li, ' <br /> -- --- <br /> . p r Y IF' I <br /> 16UL I <br /> --. __ I __._. . ...1..............._... 1—.— <br /> ----- f- -- <br /> _ 1 <br /> i610; fEE = f5D.0Urzih 1AN): -- ------ --- <br /> I rants _ _ ; ISD.On I -- <br /> ---- <br /> 11'U I J`IN -- -- <br /> 4u1liply I by iee for •I JOi <br /> tazh-Year applicable) - <br />$TATE SURCHARGE = fSb.DO eaih TANI: ;see CA IIEALIII y SAFETY CODa Sec 25207 fur a <br /> � ' DPli�:ability) <br /> DATE INVOICE AMOUNT <br /> <br /> 2736 TEEPEE DR. SUITE E 112 6 2 T <br /> STOCKTON.CA 96206 <br /> (209)948-6124 p <br /> ,II <br /> AP <br /> d i <br /> OLLARS <br /> 1P-epl- <br />,TE TO THE ORDER OF c � ^M^ � .—A.U. DISCOUNT CHECK AMOUNT I1 <br /> 1 <br /> WESTERN METER SERVICE-INC. r <br /> UNION SAFE DEPOSIT BANK <br /> STOCKTON,CALIFORNIA <br /> I <br /> 1HG � I� 1 <br /> REPAIr"./CLOSUiE7REMGl4l a eTs p; - -'-- — <br /> • .---- s - - - -- hour 1, be pall on plan subnittal) k .- <br /> WHORIIEO RELEASE.EVALUAiIOh 00151 U111all I115PftiIOli 5+1MPLIiIG INSPf.Ci1011 <br /> en•applicaElel ! f l ,n <pplicahl;' fvhcn appli;ablc) ' <br /> f 0,007hr. 001 „i F ( S35 001 1 <br /> TOTAL DUE s <br /> ICE DSF Oily. <br /> - LL <br /> LInBf1UlT FfO fllCfl�(, fl$II rl "0 BY GATE P.ECEIVEDPEP.)fIT 1— � DD ` <br /> f .... I f . I. I!Q:IIJIIPQ I II:Q IL,! ,tiIP'1111199B9I1199!1119Q;9@l".14Q"r,NJQ161Vg�i��ll.� ►V! ��A sem, <br /> —__ —_ 6 <br />