Laserfiche WebLink
c �P <br /> ,SIF ORS <br /> IL 62 A ( L appeal the decision made by the <br /> Your Name ) / l q <br /> Planning Division on _ -�_—L_b regarding <br /> (Date of Action ) <br /> (File Number and Name of Item) <br /> Be thorough--only the findings and facts you <br /> include in your appeal will be considered at <br /> the appeal hearing . Attach additional sheets <br /> if necessary . <br /> State the basis of the appeal ( list any findings of fact made by the <br /> review authority which were wrong and the reasons why they are wrong ) . <br /> If you wish to appeal a specific condition list it and the reasons <br /> the condition should be changed or removed: AEPCA(, L) C <br /> - --5 F7= 1945e 7�> � P/,'AJ itZ A `3 ILZ rL TL,) 6Zix—c <br /> /`i :g 12 -^G%O C��0�L L �' �F � i7/✓� /''SJ_ l1/ l <br /> Gi/--/,> UG14/ ,T-�j• <br /> State facts contrary to the decision ( list any facts that support your <br /> appeal ) : P(�l f -T-/ 0 2cDtcG i ION) <br /> ev=e e —0 T f <br /> _ r : ��_ c.n N c 1. L Q F V r t✓l n <br /> Tl <br /> I realize that this appeal will prevent action on this item from <br /> becoming effective and that no permits will be issued until final <br /> action on the appeal is taken. The above is true to my own knowledge, <br /> information or belief . <br /> DO NOT SIGN UNTIL YOU HAVE READ THIS FORM. <br /> I certify under penalty of perjury that the foregoing is true and <br /> correct and that I am (check one ) : <br /> Q Applicant <br /> Agent ( If an agent, attach proof of the applicant ' s consent <br /> to the appeal . ) <br /> I am directly and adversely affected by this decision. <br /> Signed Date <br /> Name fl (A C�WF---C_ WW 1TES i D G <br /> Address c—ve:RN SF—'r A UE� - <br /> City/Zip Code 5TKIJ r-A . q Telephone C4 (r C� <br />