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r <br />Me <br />City of Santa Ana <br />PROTEST FORM FOR 2013 DOWNTOWN SANI'A;ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT <br />Owner Name: M+ — u c1 Business License # : 3rd - <br />Company; <br />Address: 5, �+ h <br />City, State Zip: � 1"1--e\G Cif <br />NOTE: The Person submittin2 this protest must be the owner of the business referenced <br />abo_vg. Please complete and 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 5:45pm 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, 8' 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 />I am protesting the assessment in its entirety. <br />❑ I am protesting the following specific types of improvement or activities: <br />Print Name Title <br />Signature <br />Date <br />