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appeal the decision made by the <br /> (Your Name ) <br /> Planning Division on �ECEmPEo i�, �� �p regarding <br /> ( pate of Action ) <br /> (File Number and Name of Item) <br /> • <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:�E 1rnP,2cyE rv\ Eur-_ row JCC TD F <br /> �P_C e f =t� f _q&)JL_ .= ""Al P r\r E rn F <br /> A,� F F rye F Iy � <br /> State facts contrary to the decision ( list any facts that support your <br /> appeal ) : <br /> _E'F=k 0— -T—r-tl, c 1-+ ,E D <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 /> .{ <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 /> ITST Applicant <br /> Agent (If an agent, attach proof of the applicant 's consent <br /> to the appeal . ) <br /> Q I am directly and adversely affected by this decision. <br /> Signed D.(-, 1( . �.nh, c iaJ Date ✓cG I . jc� <br /> Name Fuc- R Sly Dv . �-A ►. Z,c � <br /> Address _7_77 U) LV <br /> City/Zip Code SUNt" Y P1-E (� L� ,..,_c9rl Tele hone <br /> Q P 7L)Nv <br />