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C+ <br />City of Santa Ana <br />PROTEST FORM FOR 2013 DOW —N, 0WN SANTA ANA BUSINESS <br />.] IMPR€ VEVIEPiT DISTRICT ASSESSMENT <br />Owner Name: ,1 /G{ 6544 /�'i Business License 4: 15 <br />y5 <br />.Address: :/ J W- /'&h .� <br />city, state zip: -SaJ4-Ar 14tia <br />NOTE: The persom submittin2 this protest mast be the owner of the business referenced <br />above. Please complete and submit this form to the Clerk of the Council during or prior to the <br />public hearinga scheduled for July 1. 2013. <br />Tire Public Hmarins will be held at 5:45pm at; <br />City Cann ell Chamber <br />22 Civic Center Plaza <br />Santa Ana, California 92702 <br />This form can be mailed to the Glad` of the Council at: 20 Civic Center Plaza, 80' Floor, Santa <br />Ana CA 927€12; however, it must be received prior to the date of the hearing in order for the <br />protest to be considered. <br />F/-- protesting the assessnrent in its entirety. <br />❑ 1 am protesting the following specific types of improvement or activities: <br />Print 1+ %%:a e <br />Ti '/ems /}(�/% <br />Date <br />t; <br />