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PETITION TO CREATE THE <br />CITY OF CLEVELAND-FIRST SUBURBS DEVELOPMENT COUNCIL ADVANCED ENERGY <br />SPECIAL IMPROVEMENT DISTRICT <br />Signatures of Property Owner <br />Date: <br />Property Owner: <br />Authorized Signatory: <br />(printed name of authorized signatory) <br />Title of Authorized Signatory <br />Address for notices to Property Owner <br />CITY OF LAKEWOOD. OffiO <br />(signature) <br />Commonly used property address: <br />Parcel Number(s) <br />Front Footage <br />Commonly used property address: <br />Parcel Number(s) <br />Front Footage <br />Square Footage <br />Approved By: <br />,2010 <br />Square Footage <br />Director of Law <br />3728387v7 <br />