►w. . ' ~ r ~ <br />• ~4 r <br />5 ~ w <br />y~, ' 1 <br />i1 '~r f~ . <br />A filing,fee must accompany all Hea~ri;n~g's official' and Historic Review Board appeals, The fee <br />varies depending upon the type of applicat{on and is adjusted periodically by the City Manager, . <br />Check with Planning staff at the Permit and~information Center to determine the required fee or <br />check on the web at; www,eu ene tannin .or . ~ <br />. <br />Acknowledgment . . <br />i ewe}, the undersigned, hereby acknowledge that I ewe}have read the above appeal farm, understand <br />the requirements for filing an appeal of a Hearings Official or Historic Review Board decision, and ' <br />state that the information supplied is as complete and detailed as is currently possible, to the best of my <br />dour} knowledge. <br />APPELLANT <br />_ ~p } Name rant . Phone. <br />Address: ~ ~ ~ ~ ~ V <br />C it IStatelZi : ~ ~ L~ ~ - ~ Y p <br />Signature; <br />APPELLANT. <br />Name sprint}; Phone: ' <br />Address: <br />CitylStatelZip: ~ <br />Signature: <br />IF th is appeal is being fi led by the affected recognized neighborhood association, complete the <br />following: ~ . <br />~ . <br />Name of Association. <br /> <br />Appeal of Initial Hearing official Page 2 of 2 <br />or Historic Review Board Decision <br />PC Agenda -Page 9 . <br />