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b <br />3 <br />City of Santa Ana <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT` <br />Owner Name: yr� (`� \ Business license 4: .3 Y c� 3 <br />Company: <br />Address: �(� w 1 �� �2�0 <br />City, State Zip; <br />4 <br />NOTE: The person submittinu this protest must be the owner of the business referenced <br />above. Please complete and submit this form to the Cleric of the Council during or prior to the <br />public hearing scheduled for July 1, 2013. <br />The Public Hearing will be held at 5:45pm 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, 81h Floor, Santa <br />Ana CA 92702; however, it must be received prior to the date of the hearing in order for the <br />protest to be considered. <br />k1 am protesting the assessment in its entirety. <br />❑ 1 am protesting the following specific types of improvement or activities: <br />Print Name <br />S gn ure <br />19 W <br />Title <br />o� -��, � <br />Date <br />