Fillable REQUEST FORM City of San Dimas (Appeal to (City of San Dimas)

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REQUEST FORM City of San Dimas (Appeal to (City of San Dimas)

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City of San Dimas
245 East Bonita Avenue
San Dimas, CA 91773
(909)394-6200
Fax (909)394-6209
REQUEST FORM
(Appeal to City Council or DPRB)
Request No: _____________________________
Fee Paid: _____________________________
Request from:
Date:
Mailing Address:
Telephone:
Request for:
(Attach additional information if necessary) ________________________________________
Signature
COUNCIL ACTION: □ Approved □ Denied □ Continued □ Referred to other □ Other
Date: __________________
Per the Municipal Code 18.12.070 appeals must be filed within 14 days after the issuance of the
decision, determination or action by the Director of Development Services or Development Plan Review
Board.
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REQUEST FORM City of San Dimas (Appeal to (City of San Dimas)

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Completed 16 July 2020

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