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City of Santa Ana C Z01 <br />Clerk of the Council <br />- AGREEMENT TERMINATION FORM <br />COTC Office Use Only <br />t ;r r <br />Please complete this form when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Return form to the Clerk of the Council Office (M -30). <br />Call 647 -6520 if you have any questions. <br />The agreement with <br />No. N -2011 -050 C1) was completed on <br />Ati (List all amendments. Use space below if needed.) <br />o- 2011- 0;0 -001 LZA1 <br />Revised 0 &23 -10 <br />Y rF <br />La1 I 1 and final payment has been made. <br />Department: Fes" S pr <br />Phone/Ext.: 5a 57A <br />Signature: a&la , C <br />Date: <br />