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<br />Received <br /> <br />JAN 2 7 2006 <br /> <br />APPLICATION FOR <br />DISANNEXATION <br />If <br />NAME OF APPLICANT(S): '])oV\~ld I ~~fti\oe{ J ~k() v- 'txrc~ Ltw /5 <br />, iT" <br /> <br />MAlLING ADDRESS: ~te +, 10 730)( 7[lO 0 ?~ (I j Ix 7r~( & 2 <br />TELEPHONENUMBERt' 9D3. sn. 2-0 91 / 9 OJ ,7 tit, Z6>'12- <br /> <br />I <br /> <br />16: <br /> <br />City of Paris <br />City CI8rk <br /> <br />VOTING DISTRICT NUMBER: <br />(this infonnation may be obtained through the City Clerk of the City of Paris) <br /> <br />Zq )"q2 <br /> <br />VOTER REGISTRATION NUMBER: <br /> <br />ADDRE~S OF P~OPERTY: _ ~. 1.2 ~...N 11/ {.., w/ 't tzr U+1A h5 r;'c(J U <br />,#(117' ~ Ac. b V\ 5cvti- 1ik of 12t ( SV'f"""1 v..tlcttd) <br />IJWe, the undersigned owner(s) of the above-described property, do hereby petition the City <br />of Paris to disannex my/our property for the following reasons: <br /> <br />(It I'- vt Iv. r t-to <br /> <br /> <br />~V~ <br /> <br />3 ~ o#rwh~ <br /> <br />REQUIREMENTS: Attach a complete copy of the latest deed of record for the above-described <br />property evidencing ownership. This deed must include a legal description of the property requested <br />to be disannexed along with a plat or a drawing indicating the area to be disannexed. <br /> <br />IfWe understand that the City of Paris has no obligation to disannex property except as may <br />be required by law. This application must be. completed, in its entirety, with all required <br />attac". <br /> <br />(jaJd(J', ~' '/2q/ot <br /> <br />Applicant( s) Signature Date <br /> <br />~Cl.u a::f~ f' II'PI/~ <br />AppIicant(s) Signature ' Date <br /> <br />EXHIBIT A <br />