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7.A. - Page 166 '~ \ RECEIVED <br /> Office of the City Clerk Redwood 1017 Middlefield Road <br /> P,gAood 5it2&W94064-0391 <br /> CItYI Ca'i °'a <br /> ���� Telephone(650)780-7220 <br /> rbuFax(650)261-9102 <br /> City of Redwoo City <br /> City Clerk <br /> APPEAL FILING FORM <br /> (All appeals must be received by the City within 15 dans of the decision or determination being appealed). <br /> First and Last Name: <br /> Organization Name, if <br /> Any: 436K J/ 55 <br /> Contact Address: 3e)V61- &�QO D-5 "244 ,z2-4o9.Q ,2 QO >2 4 !2'%APK 2, <br /> Contact Telephone <br /> Number: <br /> Contact E-mail <br /> Non-refundable Appeal Filing Fee of$270.00 attachedlpaid to City of Redwood City? _Check, <br /> (if multiple appeals filed each must submit a fee) Cash ❑ <br /> Receipt provided to appellant: <br /> Yes ❑ <br /> No ❑ <br /> Name of Subject or Matter <br /> Being Appealed : �'�`�S,`�_ i�� C,�t���J <br /> ❑ Zoning Administrator <br /> Appeal of Decision of One of ❑ Community Development Director <br /> the Following: <br /> Xplanning Commission <br /> ❑ Other <br /> Grounds for Appeal: (specifyx <br /> reasons for appeal) JL�� �>� i�� r>�i C��,rr�ft.,J,19 <br /> 1Ii.� �iJ CJ-7 rJ 7/, i <br /> ,�} ) <br /> CJ 6"2zL a�� 4"-) <br /> List of documents attached (all records and documents requested to be considered at the appeal hearing must <br /> be attached) ' l <br /> s,r e <br /> Sinned: Dated <br /> Reference: RWC MC 1.45.5-10(1-9-12)and RWC ZC Art.48(1-23-12) <br /> Form date:May 25,2012,Rev.October 23,2012 <br />