BALLOT
Hayward Geologic Hazard Abatement District
Identification of Parcel: Assessor’s Parcel Numbers(s) ___________________________________ Record Owner: ___________________________________________________________________ ____________ Yes, I approve the proposed annual benefit assessment described in the attached Notice on the property described by the parcel numbers identified in this Ballot. ____________ No, I do not approve the proposed annual benefit assessment described in the attached Notice on the property described by the parcel numbers identified in this Ballot. _____________________________________________________
Signature of Record Owner or Authorized Representative of the above identified parcel(s)
Dated:
Mail or deliver sealed Ballot to:
Hayward Geologic Hazard Abatement District
c/o ENGEO Incorporated, GHAD Manager
Attention: Eric Harrell
2010 Crow Canyon Place, Suite 250
San Ramon, CA 94583
Attachment 4
Attachment 4 to Resolution No. 22-01