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City of Santa Ana <br />Title 0052 <br />by Moses Camacho In Arks $ Culture - Special <br />Event Sponsorship Request Form (SESRF) - <br />2021 <br />2202,5 North Main St <br />Rufalo <br />Santa Ana, California <br />92706 <br />CA <br />United States <br />7149060920 <br />artecamacho64@g mail,com <br />Powered by Submittable U <br />O'1/3112022 <br />id. 22442255 <br />Original Submission 01/31/2022 <br />Name of Primary Moises <br />Contact Camacho <br />Contact Title Artist <br />Name of Entity OC Fine Art Studio <br />(organization, <br />business, <br />neighborhood <br />association) <br />............ ......... .......... ...__ . <br />Check the box that Individual/Community Croup <br />applies to your entity: <br />Additional Applicant <br />Names (if applicable) <br />Physical Address 2535 a Diana Dr <br />Anaheim <br />Ca. <br />92806 <br />us <br />Mailing Address 2535 E diana Dr <br />Anaheim <br />Ca. <br />92806 <br />us <br />Phone +17149060920 <br />Email artecamacho64@gmaii.com <br />