HomeMy WebLinkAbout2008, 04-07 Request for RefundSPOKANE VALLEY DIVISION OF PLANNING
REQUEST FOR REFUND
FOR STAFF USE ONLY q
Today's date: / 7 0
/6
Name of Staff requesting refund: 6%cam !?k 1
Refund to:
Name: di' /
Address: 4/6(0 2 d Ai- l ks ,L pi L�
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Receipt Number: & 7
Amount to be refunded $ 75n,
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Amount to be refunded $
Amount to be refunded $
Total Refund $
Reason for refund:
File No. P 3 3 -C4
Receipt Date:
V022. From Revenue Code OD( o5 ' 3Y5 g 3 0 3
From Revenue Code
From Revenue Code
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Processed:
Date:
By:
Approved:
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Date: 4 ( !>
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Approved:
Date:
P:\Community Development\Current Planning\Forms\Receipts - Refunds\Request for Refund.doc