ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address and telephone #): FOR COURT USE ONLY STATE BAR NO: ATTORNEY FOR (Name): MARIN COUNTY SUPERIOR COURT 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913-4988 APPELLANT: NAME: ADDRESS: NOTICE OF ADMINISTRATIVE APPEAL COMMUNITY DEVELOPMENT AGENCY Government Code § 53069.4(b)(1) CASE NUMBER: As the appellant, I hereby appeal the final administrative order/decision of the Code Enforcement Hearing Officer issued on: ___________________________. The mailing date of the final administrative order/decision by the Clerk of the Marin County Board of Supervisors was: ___________________________. MANDATORY REQUIREMENTS This Notice of Appeal must be filed with the court within 20 days after service of the final administrative order/decision by the Clerk of the Marin County Board of Supervisors; A filing fee of $25.00 is required at the time of filing; Appellant's opening brief is due 10 days prior to date of hearing. Reply brief by Community Development Agency is due 2 days prior to date of hearing. No later than 15 days subsequent to filing Notice of Appeal, you must file proof of service with this court that the Community Development Agency and County Counsel were served with this Notice of Appeal either in person or by first-class mail; and Failure to comply with each of these requirements may result in the dismissal of your appeal or denial of a de novo hearing. I declare under penalty of perjury that the foregoing is true and correct. DATE APPELLANT'S SIGNATURE A hearing will be conducted at the Marin County Superior Court on _________________________________ at ______________________ AM / PM in courtroom ________. KIM TURNER Court Executive Officer Date: By: DEPUTY Upon receipt of this notice, the Community Development Agency shall be responsible for sending the complete file to the Marin County Superior Court within 15 days. CV028 NOTICE OF ADMINISTRATIVE APPEAL - CDA Rev. 5/29/15 American LegalNet, Inc. www.FormsWorkFlow.com CV028 NOTICE OF ADMINISTRATIVE APPEAL - CDA Rev. 5/29/15 American LegalNet, Inc. www.FormsWorkFlow.com