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k <br />City of Santa Ana <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT_ <br />rYj <br />Owner Name:,c��c�c!\ ' ���•i��� <br />Company: <br />Address: 1 t','> cry 3 <br />City, State Zip:,, �ra� <br />Business License #: 32'° L'ck b <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 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 Cleric of the Council at: 20 Civic Center Plaza, 8`h 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 />1 am protesting the assessment in its entirety. <br />❑ I am protesting the following specific types of improvement or activities: <br />M'khA 1 AcA I - �i <br />Print Name J I <br />:2 CA <br />l l <br />Signature Date <br />