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<br />~ <br /> <br />EXIllBIT ill <br /> <br />CITY OF REDWOOD CITY <br />. RELOCATION NEEDS ASSESSMENT FORM <br />PURSUANT TO ORDINANCE # 2048 <br /> <br />Current Address: <br /> <br />How Long: <br />Telephone number (home) <br /> <br />(work) <br /> <br />(message) <br /> <br />Please answer all questions asked on the assessment form. If a question does not apply <br />to your circumstances, write "N/A" on the line. <br /> <br />List ALL persons who live in your household under your current lease. (If more than <br />8 family members live with you, please list additional members on a separate sheet of <br />paper.) PLEASE PRINT CLEARL Y . <br /> <br />Name Relationship Sex Social Birth Date <br /> to Family Head Security <br /> Number <br /> Head of Household <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />22 <br /> <br />,..,.."",..."."".",,-., ....,.._..'~. <br />