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FEB-16-2012 12:01 From:CITY ATTORNEY 903 782 9721 To:Complete Care Clinic P.1/2 <br />APPLCCAT.CUN FOR <br />DISANN.EXAT1OlY <br />PcA NAME OF APPLICANT(S) r1 ~ <br />T.E.LEPHpNC NUMk3ER;CkQ~ ---I ZsA ` 'A' <br />- SI1-1 - `S`A ~ <br />VOTING DfSTRICT NUM88R: <br />i~'S ~o.S~rn \ <br />~ <br />(this inforniat•ion rnay be ohtaiiled thmubh the City Clerk of lhe CiCy of Puxis) <br />~ <br />VpTERREGISTRATIpN'NIJ;Mf3E.R; ` <br />1~qc)~a <br />ADDRESS OF PROI'ERTY;_ktPQ:s <br />UWe, the undcrsign4d awner(s) of the abave-deseiibed property, do hereby petition the <br />Gity ai?Faris to disanTlex i7iy/our property for the follawiiig reusons: <br />REQU(ALEMENTS: Aetach a complete copy of the latest deed of recard for t17e <br />Ahove-described property evidencing ownership. Thys deeci must include a lebal description of <br />the property requesteci to bc disannexed ttlong with u piat or a drawing indicnring tlie areA to be <br />d:isa,n.nexed. <br />]/We understand tl7at the City of :Paa-is has no obligation tp disunnex praperty excqpt as <br />may k+e required by law. TMis applicatio:n must be cornpleted, in its entirety, with a.ll required <br />ttacliments. <br />A:pplicunti(s) Sibmature Date T- <br />~~B 1~..' rh?~ct a"~ <br />c: i: <br />__.A.ADRESS: <br />` _ 102 <br />