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r' 3 <br /> W. 04 <br /> C, � <br /> I ���c 6 $ S✓� /� I�rNZc�S appeal the decision made by the <br /> (Your Name ) <br /> Planning Division on r4CI0 regarding <br /> Gate of Action ) <br /> ms -�� - mss (,4 f,nJ-��,•� -�.�� -� � <br /> (File Number and 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 /> 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: <br /> T-f�E FP-VA;TX� C ; / MP,-2C\,;E MErow <br /> rP CE( nti7 ( -4JTn <br /> AEa E F rY\F rJ T <br /> State facts contrary to the decision ( list any facts that support your <br /> appeal ) : <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 FORM. <br /> I certify under penalty of perjury that the foregoing is true and <br /> correct and that I am (check one ) : <br /> Applicant <br /> Agent ( If an agent, attach proof of the applicant ' s consent <br /> to the appeal . ) <br /> QI am directly and adversely affected by this decision. <br /> Signed �( y�ihcc�/�aJ Date AcG O <br /> Name EZiG 8 SUE i r. z,c 0 <br /> Address -7 -DL),N Gg2�IN q <br /> E_ U� y <br /> City/Zip Code Sun%r� J r Ai_t r� t1 fur c'1 Teleohone-r)hv Cul, . ) u-1 /- <br />