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City of Santa Ana <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT <br />Syed Kaiser Shere Business License #: 154199 <br />Burger King (430914916) Assessment Type: Gross Receipt <br />701 N Main St Business Type: Cafes And Restaurants <br />Santa Ana, CA 92701 Bid Rate: 1.5 x Business License Tax <br />Business Location: 701 N Main St <br />NOTE: The person submitting this protest must be the owner of the business referenced above. <br />Please complete and submit this form to the Clerk of the Council during or prior to the public hearing <br />,scheduled for July 1, 2013. <br />The Public Hearing will be held at 5:45pm at: <br />City Council Chamber <br />22 Civic Center Plaza <br />Santa Ana, California 92702 <br />This form can be mailed to the Clerk of the Council at: 20 Civic Center Plaza, 8t' Floor, Santa Ana <br />CA 92702; however, it must be received prior to the date of the hearing in order for the protest to be <br />considered. <br />KI am protesting the assessment in its entirety. <br />❑ I am protesting the following specific types of improvement or activities: <br />Print Name <br />Signature <br />t fl <br />Title <br />1/' f2- Lf 10 <br />Date <br />9 <br />