PLANNING ;

DEVELOPMENT

HAILE A MN ALLA DEPARTMENT

STATEMENT OF FINANCIAL INTEREST

. .. .

. . . "" -. .. -. nm PEP ida . . , . . .

Case Number:Z/A/- /A (50)

APN: ZiZ-00&

Name of Property Owner: lAy us: 04 AA g

Name of Applicant:

il Las ]

CL Zi K4

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the City Council or. .

" Commission have any financial interest in this' or any other property with the

property owner, applicant, the property owner or 'applicant's general or limited partners,

or an officer of their corporation or limited liability l : : : ! '

To the your knowledge, does the Mayor or any of,

! EU T N . . - -

If yes, please indicate the.member of the City Council or Planning Commission who is

involved and list the name(s) of the person or persons with whom the City Official holds

an interest. Also list the Assessor's Parcel Number if the property in which the interest ig

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.

held is different from the case parcel. ] !

City Official:

Partner(s):

APN:

.

7,

6 .

! Signature of Property Owner: SD ( au

and sworn before me

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Print Name:

Do CA Cy

Notary Public - State of

EL

COUNTY F

$5

0 CLARK

This / day of sven

7 -

PETER LOWENSTEIN

Appointment Expires Feb. 27, 2007

Notary Public in arid f6r said County and State

No. 03-80709-1 My

Si il inuna:na PackeStatement of Financial Interest.doc

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