This government document is issued by City of Buellton for use in Buellton, CA
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https://www.google.com/url?client=internal-element-cse&cx=018312051982601131582:4_etvcqxw1s&q=https://cityofbuellton.com/government/documents/Lewis%2520700%2520Form.pdf&sa=U&ved=2ahUKEwiG1tapn9v0AhXwh4sKHbJyC2M4HhAWegQIBhAC&usg=AOvVaw2qmF5xAjvRNYw3iSGSi_TJ