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� ' 8.A. - Page 128 � <br /> Office'of the City Clerk W �on nn�ddieeeid Road <br /> - . ' � ��"'00� Redwood City, CA 94064-0391 <br /> (�It�CaliFornia Telephone(650)780-7220 <br /> ry � u l Fountletl 1887 Fax(650)261-9102 <br /> i ���� Y � �(1'.:; � \ ''� . <br /> � <br /> APPEAL FILING FORM <br /> (All appeais must be received by the City within 15 davs of the decision or determination being appealedJ. <br /> First and Last Name: G ��.��-�� -C- � ,�,r A�kv�h �-� <br /> Organization Name, if ` <br /> Any: <` O�S y�� �� \Ff ie l � (Zoca L�--� <br /> ContactAddress C,�S w.��a \e-���1� Ro�c\ QwC- CA q �t'�f�� <br /> Contact Telephone <br /> Number. (��fl �2�� i{ _ � �,� <br /> Contact E-maiL ���;�re�c c,v-r C� S1�G c 1 �b�� (�, NN -� <br /> Non-refundable Appeal Filing Fee of$270.00 attachetl/paid to City of Redwood City? _Check � <br /> (if multiple appeals filed each must submit a fee) Cash ❑ <br /> Receipt provitled to appellant: <br /> Yes ❑ <br /> NameofSubjectorMatter ��~k`�.�+v� ��P � C`��`�u������ U"h`� ���pa�""�w+ ��f�� +- <br /> BeingAppealetl : ��a�'t-f IVo ' jM2o12-��5� PO �, 1� -��� PC n12- O� <br /> ❑ Zoning Administrator -��� ����d (�-+�e 1� <br /> Appeal of Decision of One of <br /> the Following: ❑ Community Development Director <br /> [� Planning Commission <br /> ❑ Other <br /> Grounds for AppeaL (specify S P� F x1 h �{5 � d c�, wc, C <br /> reasons for appeal) <br /> List of documents attached (all records and documents requested to be considered at the appeal hearing must <br /> be attached) �<�e ��c►�i h �-�� ,q e'� c,,,�,,� <br /> Si ned: �"" Dated: � �1 <br /> Reference: R C 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 />