Item 6B Notification Response Form CDS
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Meeting Date: May 18, 2017 at 6:30 PM "14
City of Grapevine ' `
P.O. Box 95104 9, Awa
Grapevine TX 76099 w .
PLEASE PROVIDE COMPLETED FORMS VIA MAIL, FAX OR HAND DELIVERY •
BEFORE THE START OF THE SCHEDULED PUBLIC HEARING.
Being the owner(s) of the property so noted above, are hereby
in favor of opposed to undecided about
(circle or underline one)
the proposed Site Plan referenced above.
Space for comments regarding your position:
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Signature: 1M Date: 2d ("7
Additional Signature: Date:
Printed Name(s): Yt/� a � cis_A
Must be property owner(s)whose name(s)are printed at top. Otherwise contact the Planning Department. One form per property.
Phone Number (optional): �11 - v