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FEB-16-z012 12�01 From:CITY ATTORNEY yb.s rt�� 7r�1 <br />ApPLi:CAT.[ON �'O R <br />DISANNEXATI ON <br />�� , � ` � <br />T1,�Iv(E OF APPLICANT(S): ` �r1 0� <br />1y�AILING � � (� --� <br />�� 5 ma.� ��.� c� � �e��c--� , � <br />T�LEPI�4NC NUM9ER;��� �a� � �3��� � <br />IO.I.O�IIh'1Cl.0 �.Qf-C Vlllil�. i •+ � <br />AADR£SS: <br />���� � <br />��- �--1�- S��$ <br />VOTING , DISTRI.CT <br />t�.S Ho-s�nrn � <br />(this informa�ion may be �bt�ined thr.c►ugh the City Cierk of the City of Paris) <br />VQTER REGISTRATION' NUM g�Rc l C�'►� � l 1�t� J <br />ADDRESS OF PROPERTY��.�� ��1a--��l�yG��l �, � <br />NUMBER: � <br />llW�, the undc�igncd owner(s) of tht above-described property, da her.eby petiti�n the <br />Ciry ot Faris to disannex my/our. propercy for the f.c�llawins �asons: ` � <br />REQUI;l2�MENTS: Attach a complete copy �f the latcst deod of r.ecord fnr the <br />obave-dcscribul property ev�denaing owner.ship. This d�ed must includt a legul dtscriptivra of <br />the rxoperty requcstcci to be disannexed olong with a plat or a drawinb indicnring the area to be <br />dis�nnexed. <br />l/Wc undcrstand that the City af Paris has no obligatian to dis�nn.ex property cxccpC as <br />in�y bc rcquirad by law, This aprlication m�ast be comploted, in its entin.ty, with all r�quired <br />ttachrocnts <br />, ���� <br />ppplicant(s) Si�►�atua'e Date <br />EXHIBIT�1��r <br />_ ` . '7 4 <br />FE� �.� r^h��:�'� <br />