Laserfiche WebLink
�07 6 I�osevi�le Resid�nt B�ud+get �'r�vrities Card <br />Name �print) I;Z��. NE.,�'�U�. <br />praperty Address �1��. ���,��r ,� � I�'+��3�Le1�.v 'r'Y�..l ��P 1`� <br />Cantact Phone hlumber_ <br />Emaif <br />Please shar� your priurities far the 201 G Ci�y of Raser►ille 6ud��t: <br />� �` �-C., ���-'�- e.t'�\ ��.. _ <br />� �- '�' 71►' � '��Q�.S:� U `�. <br />l�v��; c� l�}U. <br />'� ��.�-� � c.. - <br />Sir�nature '�t.l,.�-, �:u�--- _���,�,�@ �ate � • 1"3 � � g I�` _ <br />5ar�e time ancl pc�stag� by proWidbng yaur respons� online at <br />www►.Ci�yaf Rvse►ville,comlbudgetf�eec�bac� <br />2q�� C�+vsev►i�le Res�d�ent Bu�dget Rriar�ties +Card <br />'� - � . �. � <br />Nam� (print} _ �f`!J� �^ ;� � 7 -, �]��� !'�'� �7 �-�Cl?; :� �'� � <br />Property Address ����" �.c,/V,�1 _. �C-"'�'`,�.,i',.- ,�J�- <br />C�rrtact Phone Num� <br />Email <br />Ri�ase sh�rre your priorities for fhe �a1 fi City of I�vseville I <br />�,; :�;� � ,�,'�l "" �! „�' . <br />��- <br />��`�-;`��-,7��..��I ' ,� 1.�• �� .;� _ :f., <br />� <br />�.. �� � r�f'�i �I d',5 i � � �?/'r <br />� , ..� ,� J'...�' ," � ' <br />� �1 � <br />,��% V/`�! f'f r � `f'� <br />•��=����r���a[+��w►. <br />a. <br />� r <br />� . . .l___ � .1 <br />�; _ <br />r <br />"l�'��i�':�'i11,1'��� <br />� � <br />5ignatur �._ �' �ate Jl . �/< - <br />SaUe time and pastage by praviding }raur respon�e online at <br />vu�ww.City�c�fRasev�lle.comlbudgetf�eedbac�C <br />PMPfJR711AFT: if you pravide your fee�'� `� �nline, please f?Q NOT mail k�atk this eard.Thank you! <br />