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City li, <br />of 1 <br />Donation <br />t"�rry <br />IFellpe Guerrero <br />esa: 204 N. Susan Street Mail <br />State, zap:; Ssanta Ana, CA 1505 <br />to CVOC <br />City Managoes Office — M-31 <br />20 Ch* Center Plaza <br />F.O. Box 1988 <br />Santa Ana, CA 92702 <br />(794) 047.5200 <br />4) 568-5513 <br />I Name: (Santa Anita Neighborhood c/o of Charitable Ventures of Orange County <br />defined ander Section 60i{c}{3}oi the Internal n Ravanuot public tax-exeroto a_rilaatton as;�e"'""'�"�"("_'"_""'"""""'""W-"_"'__� <br />lax-Exempt StaWs: le your organtzatlon anon- root p prgW"" ' �c} One: <br />Revenue Cade? Yea❑ Na <br />If No, you will only qualify for a credit for CiVrelated costs for yourrequest (i.e. permit fees, <br />staff time, rental rates for facilities or equipment, etc). Costs for City services very and If <br />approved, credit may or may not cover full cost of requested City services. ax Ir] # LG, l✓ G ! V UC! <br />Revised 01/05/2017 <br />