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? ror - <br />APPLICATION FOR <br />DISANNEXATION <br />NAME OF APPLICANT(S): <br />r•, <br /> <br />. <br />r <br />MAILING ADDRESS: -7 T.Y <br />TELEPHONE NUMBER: <br />!~'e) ~2 2 ~ SU 3 ~'Ce~ t7s"o~ <br />VOTING DISTRICT NUMBER: 'D+.ST1K1c.T 14 <br />(this information may be obta.ined through the City Clerk of the City of Paris) <br />VOTER REGISTRATION NUMBER: R77 004 <br />ADDRESS OF PROPERTY: 4f 0 31 7 de" <br />I/We, 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 />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 disa.nnexed along with a plat or a drawing indicating the area to be disannexed. <br />I/We 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 a11 required <br />attachments. <br /> <br />Aj~p-licant(s), Stgnature <br /> <br /> <br />Applicant(s) Signature <br />~ <br />Date <br />i <br />Date ~ <br /> <br />`w L'`'L212 <br />