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City of Santa Ana <br />PROTEST FORM FOR 2013 DOWNTOWN SANTA ANA BUSINESS <br />IMPROVEMENT DISTRICT ASSESSMENT <br />Antonio Carbayo Business License 4: 198957 <br />Full Health University Medical Assessment Type: Variable Flat Rate <br />146 S Main St #L-262 Business Type: Physicians & Surgeons <br />Orange, CA 92868 Bid Rate: 1.0 x Business License Tax <br />Business Location: 415 N Sycamore St <br />NOTE: The person submitting this pwotest must be the owner of the business referenced above. <br />Please complete and submit this form to the Clerk of the Council during or prior to the public hearing <br />scheduled for July 1, 2013. <br />The Public Hearing will be held at 5:45prn 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, 81h Floor, Santa Ana <br />CA 92702; however, it must be received prior to the date of the hearing in order for the protest to be <br />consider <br />p <br />;I am m protesting the assessment in its entirety. <br />❑ I am protesting the following specific types of improvement or activities: <br />