Item 7BNotification Response Form
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Ordinance No. 480-RRRR
Meeting Date: May 21, 2016 at 6:30 PM
Southlake Kimball Properties
1205 S White Chapel Blvd
Southlake Tx76092
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 Ordinance amendment referenced above.
Space for comments regarding your position:
Signature:
Date: 11c,
Additional Signature: Date:
Printed Name(s):�j?
Must be property owner(s) whose name(s) are printed at top. Otherwise contact the Planning Department. One form per property
Phone Number (optional): '? — G -!� 6 l .y t--/�