CITY OF MANTECA
APPEAL UNDER MANTECA MUNICIPAL CODE SECTION 5.64.250
Date: _________________________________________________________________________ Name of Appellant: _____________________________________________________________ Address of Appellant: ____________________________________________________________ Telephone number of Appellant: ___________________________________________________ If you wish to also receive electronic, courtesy correspondence, please include an email address:
______________________________________________________________________________ Specific Decision and/or Action that is the subject matter of the appeal:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ If an initial permit application, please state with specificity the reasons and grounds for making the appeal as outlined in Manteca Municipal Code Section 5.64.240(A):
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ CITY ATTORNEY’S OFFICE
1001 West Center Street
Manteca, CA 95337
Ph: (209) 456-8551
Email: [email protected]
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State with specificity the reasons and grounds for making the appeal, including, but not limited to, a statement of facts upon which the appeal is based in sufficient detail to enable the appointed hearing officer to understand the nature of the controversy, the basis of the appeal, and the relief requested:
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________
APPELLANT SUBMITTAL CHECKLIST
Attached a true and correct copy of the notice and/or decision issued by the City Manager or their designee, which you are appealing
Attach all documents or other evidence pertinent to the appeal that the appellant requests the hearing officer to consider at the hearing. Provide an appeal fee of $2,844 in the payment of a cashier’s check or money order made the City of Manteca.
Please note that appeals must be received within ten (10) calendars after service of notice by a City decision. In the event a written notice of appeal is timely filed, the nonrenewal, suspension, revocation shall not become effective until a final decision has been rendered and issued by the appointed hearing officer, unless the state has revoked the state license in which case the revocation will become effective immediately. Notices of appeal not served in a timely manner or served by non-operational business shall not serve to allow such business to operate pending appeal.
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