Community Services

cs@cityofirivne.org

1 Civic Center Plaza
P.O. Box 19575
Irvine, CA 92623-9575

949-724-6600

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Additional Signatures Required

Document Signers

- 1 Applicant
- 2 CS Approval
- 3 CS Manager
- 4 CD Planning
- 5 Community Services

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Please provide accurate information below to ensure the delivery of the signed copies of the document.

Listed Signers

	Signer Details	Me?
Applicant
I'm not a signer listed above

Other Signers (The signers below will be invited to sign once the above signers have signed.)

	CS Approval
	CS Manager
	CD Planning
	Community Services