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Appeal Form <br />I PF_TFl7 r ��i�//2 L�/�LIJ appeal the decision made by the <br />(Your Name) <br />! Planning Commission on .�.i�,w /A Zr=te regarding <br />ate of Action) <br />1 L.nwy G.l/,O.3�c�eG- s ueOi✓rJiJ1t/ — %S�.CArZ,/!� .rI.6� °y 2.077 <br />I' (File Number and Name of Item) �i6f/pt /ptcry <br />BASIS <br />O. APPEAL MENOMINEE <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: T/,�15 <br />State fa� contrary to the decision (list any facts that support y <br />appeal ) : %tti�S�L �o,e '�(� �F,25ADi�'4 6 D'�-i75c0 ns✓ Vb65 .f <br />7— <br />) <br />) 527c1. <br />GO <br />",*,TeeF�i-r7,rv�et/ YO /ri/GGiYt/ /rid✓ .(�5✓Er2 36 <br />I rize that this appeal will prevent action on this item from BfC� <br />becoming effective and that no permits will be issued until final <br />action on the appeal i taken. The above is true to my own knowledge, <br />information or belief;/��& <br />DO NOT SIGN UNTIL YOU HAVE READ THIS FORM. 5 SEE *1W4*e <br />I certify under penalty of perjury that the foregoing is true and L1505'e' <br />correct and that I am (check one): <br />Appllcant ❑ Agent (attach proof of the applicant's <br />consent to the appeal) <br />I submitted oral or written testimony on the application. <br />U?1-�Mttended the public hearing on <br />T waslprevented frdm�participating by circumstances beyond my <br />contr 11 attadh exp( atlon). I <br />Signed Date <br />Name • V <br />Address (LTi i-1 ue QD -- <br />City/Zlp Code 1 I"D-�J Telephone f.R1 ;�>')-l`1 <br />— 1 — <br />