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City of Santa Ann <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT f E_ 5 51 <br />Owner Name: ame: i3usiness i icense f*: s tt l <br />Company:: <br />Address: 1 P <br />City, State Zip:7 <br />NOTE: The nea-snn su.hmittino this nratest mnct he thr awner of the hminP rPiPrPnrPd <br />above. Please complete aticd Submit this form to the Clerk of the Council during or prior to the <br />public hearing scheduled for July! 1, 2013. <br />The Public Hearing will be held at 5 A5pm at: <br />Cits Council Chamber <br />22 Civic Center Plaza <br />Santa Ana, Calil'ornin 92702 <br />This faun can be mailed to the Clerk of the Council at: 20 Civic Center Plaza, 8t' i'loor, Santa <br />Ana CA 92702; however, it roust be received prior to the date of flit ]rearing in order for the <br />protest to be considered. <br />anal protesting the assessment in its entirety. <br />Q lam protesting the following specific types of improvement or activities: <br />Pr n N uae Title <br />VZ 2_ _ Lo <br />Signature Date <br />