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City ®f Santa Ana° <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA ANA PUSINE S <br />IMPROVEMENT DISTRICT ASSESSMENT <br />Owner Name: �j +,± � Business License 4: <br />Company: R -0' t-y4s - t "4lam)- <br />Address: gd?� vj , 5-1 40 <br />City, State Zip: 51AA)1" AkI Q0_1 <br />NOTE: The Derson submitting this protest must be the owner of the business referenced <br />above. Please complete and submit this form to the Cleric oCthe Council during or prior to the- <br />public hearing scheduled for July 1, 20131 V <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 Cleric of the Council at: 20 Civic Center Plaza, 8`" Floor, Santa <br />Ana CA 92702, however, it must be received prior to the date cfthe hearing in order for the <br />protest to be considered. <br />J I am protesting the assessment in its entirety. <br />❑ I am protesting the following specific types of improvement or activities: <br />Y" kvq <br />P it Name <br />S ignature <br />G�w �z _I(L <br />Title <br />Date <br />