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City of Santa Ana <br />PROTEST FORM FOR 2413 DOWNTOWN SANTA ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT <br />Owner Name: c GA b �s. tea �"- <br />I Business License #: -�k� I <br />Company: <br />Address: t j'?5 �r� �C n <br />City, State Zip: trAn 1��,,�, <br />N TE: The 1person sUbmitting this r test must.be the owner 2f 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 Clerk of the Council at: 20 Civic Center Plaza, 80` 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 />{ &,l am protesting the assessment in its entirety. <br />0 1 am protesting the following specific types of improvement or activities: <br />f\Ak&LjC1 <br />Print Name Title <br />Signature Date <br />