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PLC:

a003sv

Agency:

city of vista

For:

development fee web payment

Phone:

760-639-6174

Address:

200 civic center drive
vista, california 92084

*Required Field

Payment Information

*Name:

Middle:

*Last:

Business Name:

*Phone/e-mail address:

*Payment Type:

*Receipt #/ Permit #/ Invoice #/ APN:

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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