Item 4I Notification Response Form
ZA14 -135
Meeting Date: November 20, 2014 at 6:30 PM
Combe, Daniel Etux Jill
339 W Highland St
Southlake Tx 76092
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 Zoning Change and Concept Plan referenced above.
Space for comments regarding your position:
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Signature: -' O � -- Date: // -' //
Additional � � Signature: CN`' Date: \
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Printed Name(s) M , CJfl A It\\\ W m■
Must be property owner(s) whose name(s) are printed at top. Otherwise contact the Planning Department. One form per property.
Phone Number (optional): 1 i b v' \ Y1 )- 4 `D-v%. u_OLA
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