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For proper consideration of this appeal by the City, all of the above fields must be filled out. Attach all documentary evidence with this appeal form. Please mail the appeal form to the City Attorney, 619 16th Street, Moline, IL 61265, or email it to email@example.com. The completed appeal form must be received by the City within 14 days of the date on the invoice. Your appeal will be considered and ruled upon in writing by the City within 14 days of receipt of this completed appeal form. The written ruling will be sent by mail to the address of the property owner as listed above.
Date appeal received: ______________
Ruling issued: _________________________
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