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City of Santa Ana <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA, ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT F . <br />Owner Name: &YLV;�'A �wLI r- 2— <br />Company: <br />Address: //P X3. kv, �'��• <br />City, State Zip: <�2 �q A�\,A ,A)\) ,,A <br />Business License #: <br />Im <br />NOTE: The person submitting this protest must 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 hearing scheduled for July I., 20.13. <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 <br />Ana CA 92702; however, it must be received prior to the date ofthe hearing; in order for the <br />protest to be considered. % <br />KI am protesting the assessment in its entirety. <br />❑ I am protesting the following specific types of improvement or activities: <br />d14AkZW1 <br />Print Name <br />1 5 <br />Signature <br />UV s VC. <br />Title <br />Date <br />