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City of Santa Ana <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT <br />Owner Name: rh+ c-v-1 9 <br />6 +1�1 w1 e <br />Company: <br />Address: XRA3 5 - Pc-1�Qn <br />City, State Zip: Sr n c� <br />Business License #: ; ;t -)I C7 <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, 200. <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, St" 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 />am protesting the assessment in its entirety. <br />❑ I am protesting the following specific types of improvement or activities: <br />)hcU� <br />Print Name <br />Signature <br />Title <br />Date <br />