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I _____Steven A. Herum _ appeal the decision made by the <br /> (Your Name ) <br /> Planning Division on July 3L, 1989 regarding <br /> (Date of Action ) <br /> _ i t e Plan nppli,-ati nn SA-89-40 <br /> (File Number and Name of Item) <br /> M-16INTM-0 71 <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: See attached. <br /> State facts contrary to the decision (list any facts that support your <br /> appeal) : See attached. <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 /> QI am directly and dversely affected by this decision. <br /> Signed Date 8/9/89 <br /> Name NPtlmi 1 1 Pr & RPa rd s 1 as <br /> Address snA W. Weber , 5th Floor <br /> City/Zip Code Stockton 95203-3165 Telephone (20c)) 948-8200 <br />