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PETITION <br />(Residents Consenting) <br />NAME <br />ADDRESS TELE. NO. <br />CA - \),A. 109- /CU -Ya3 <br />/29 . /V y <i / 7 ?d -eel 9 <br />1a 3 6vt'n <br />Name of Organization <br />(If applicable) <br />Checked by: Police Department <br />NIA- <br />N ypn -Yz. 1 oc 1� �c� ✓� <br />Public Works Department <br />