HomeMy WebLinkAbout20211007153454039.pdfAPPEAL OF ACTION OF TH` �iDING OFFICIAL
T® 7HE DIAMOND BAR CITY COUNCIL
2021 OCT -7 PM 2= 58
Y OFF j D
Submit this appeal form and any supplemental documentation via email or
iardcopy to.
OFFICE �F THE CITY CLERK
21810 COPLEY DRIVE
DIAMOND BAR, CA 91765
ksantana( diamondbarca.gov
Address of the property for which this appeal os I�eoo�g filed:
Name of Appellant:
Mailing address of Ap�lellant:
Phone number of Appellant:
Email address of Appellant:
Legal interest of the A eioant in the subject building or property that is the subject
of this appeal: Owner I enant
please provide a brief statement o� ®rdinary ao�d concise language of that specific
®rder or action protested, together with any material facts claimed to support the
contentions of the appellant (attach additional documentation if desired):
Chl1dre 13 U'�)/4� (P SQIO I h di e s �J QW S0/
or iac�,v
weeds (a, any �eCon �- a,
ELLANT CERTIFIC
l hereby certify under penalty of perjury that all information and statemenis provided in
this appeal are true.
Sign
0
Date:
iamond Bar-{-2'1�-9-A-Copley Drove � ®�iamond i3ar, CA 91765 8 �9®9) 839-7000