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F'tti'lb-CYJ1C 1C•vi � � um �+� � ��� ,...,...� <br />NAME OF APPLICANT(S) <br />arPL1:cA.ridN �a� <br />DYSANNEXA'.C1ON <br />_� . (�� � <br />` �—R �� <br />���� <br />AADRESS: <br />; "C�> , `���� <br />T�.LEPI�4NC NUMBER;°�.o3 �a`� -`��� � �`��`'�- a-��- S`�� <br />VOTING Df.STR1.CT NUMBFR: � <br />j�S aS�1m � <br />(this informaHon may be obtained thmugh the City Clerk af the Ciry af Aaris) <br />VOTER REGiSTRAT]ON' NUM�6�R, t��`� l t��� <br />ADDRES S OF PROPERTY:�� J'ma--� `��O�l � w_' <br />UWe, the undcnibYned owner(s) of the above-described property, do her.eby petition the <br />Ciry ot Paris to disannex my/our property for thc fallowing �asons: _ <br />� <br />REQUI�MENTS: Attach a complete copy af the latcst deed aP r.ecord fc►r tl�e <br />ab�ve-dcscribcd property evidencin� owntrship. Thie deed must inelude a lt�ul deacriptian af <br />tho properry requcstcd to be disanaexed along with a plat or a dra.win� indicnting the area to ix <br />disAanexed. <br />]/Wc undcrstand that tht City �f P�ris has no ablisation to disann�x property cxccpt as <br />iriay k�c r�quirod by law. This aprlictition must b� compltted, in its entire.ty, with all required <br />ttachments <br />� �Le ��. <br />ppplicant(s) Sig��aturt Datc <br />�r� � � .., �� � <br />EXHIBIT _ � �ESi�rM�.t:� <br />