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City of San Leandro - <br />Civic Center, 835 E. 14th Street <br />San Leandro, California 94577 <br />SAN LEANDRO REFUSE SERVICE <br />577-3452 <br />Date <br />ATACN MEN r <br />I hereby request and authorize the City of San Leandro to place a container on my <br />property and to enter upon my property with equipment and employees for purposes of <br />collection of refuse. I further release the City of San Leandro from and assume full <br />responsibility for any and all claims, actions, demands, costs and expenses which I may <br />have as a result of the above activities. <br />Customer's Name <br />Address <br />Shelia Young, Mayor <br />1n7 <br />City Council: Gordon A. Galvan; Bob Glaze; Surlene C. Grant; <br />Garry A. Loeffler; Joanne M. Lothrop; Glenda Nardine <br />