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9y Appeal Form <br /> OCT 17 1932 <br /> .o+ �r\N JOAQUIN COUNTY <br /> ^LANNIJJC�()I'JISI�N `% <br /> I O�1 I'1C� /Z appeal the dec s on ma a by the <br /> (Your Name) ; .. .. <br /> Planning Commission on 10�6��1 regarding i <br /> (Date of Action> <br /> (File Number fnd Name of Item) <br /> BASIS FOR APPEAL <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 /> Planning Commission which were wrong and the reasons why they are <br /> wrong). If you wish to appeal a specific condition list it and the <br /> reasons the condition should be changed or removed: <br /> i - <br /> State facts contrary to the decision (list any facts that support your <br /> appeal): <br /> i <br /> E v N) <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 /> SIGNATURES <br /> DO NOT SIGN UNTIL YOU HAVE READ THIS PORK. <br /> I certify under penalty of perjury that the foregoing is true and <br /> correct and that I am (check one): <br /> Applicant Agent (attach proof of the applicant's <br /> consent to the appeal) <br /> I submitted oral or written testimony on the application. <br /> I attended the public hearing on <br /> I was prevented from participating by circumstances beyond my <br /> control (attach explanations).. <br /> Signed ` Date <br /> Name O /�O OL A TES <br /> Address /7 D x Q 17 <br /> City/Zip Code SrOG tf TON / Gf) Telephone <br /> FOR OFFICE USE ONLY <br /> Appeal Fee Receipt Number <br /> Approximately how much time to allow for the appeal <br /> Appeal accepted by Date <br /> (7/84) <br /> —1— <br />