HomeMy WebLinkAboutPRR23135 Krege - Historical waterline filesRECEIVES
MAY 17 2023
"' CLERK �pdated 09/2022
City of San Luis Obi 6 1- - ---- -
Request -for Public Records
The California Public Records Act (Government Code 6250. et set.) was enacted to ensure public
re cord's are available for inspection by members "of.the public. ,Completion,of this form will•assist-staff
in identifying related records to accurately complete your request.
Requested records will be distributed to the emeil address'that Is listed on this form, unless directed
otherwise by City staff., Requests for printed records will require, payment subject to the City's
Comprehensive Fee Schedule.. Payment must be rendered prior to production of printed materials.
Name: 1-<`R. t:. GG _ Awl
Last First
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Street & Unit # City State Zip
Email:
•
Release Forms
Requests for certain public records legally require release forms to be submitted for records to be
distributed to the requestor. To help expedite your request, please read below and ensure additional
information is submitted along with this public records request form.
• Personal health information
Records containing personal health information require a HIPAA Release Form. Examples
include fire incident reports, worker's compensation claims, etc.
o HIPAA Release Form
Printed residential and/or commercial building plans
The Public Records Act does not allow the release of printed copies of this material without the
permission of the architect/engineer copyright owner. The public records requestor is
responsible for obtaining said authorization by completing all three release forms listed
below. You may call the Community Development Department at (805) 781- 7170 to find out
the name of the copyright owner. In-maperson viewing of plans do not require release forms.
o Copies of Plans Affidavit
o Plan Request ArchitectlEngineer Authorization
o Plan Request Owner Authorization
Continued
Record Information: List the records you are requesting. Specify relevant information such as --
subject, title, incident number, location/address, person(s) involved, project name, etc.
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Date and Time: Specify the incident date or date and time range of the requested records
Questions may be directed to the City Clerk's Office at (805) 781-7100.
Submit Completed Forms To:
cit clerk slocit .olr
OR
City Clerk's Office
990 Palm Street
San Luis Obispo, CA 93401
YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT (PRA). California
Government Code Section 6253 c . An Agency shall notify the requestor within 10 days from receipt of request with a
Determination which states if the Agency is in possession, in whole or in part, of the requested documents, and possible legal
exemptions which prohibit the release of non-disclosable documents, as outlined per the PRA. In some instances, an Agency
may require up an extension of up to 14 days to provide a Determination, as authorized by the PRA. A notice will be provided to
the requestor setting forth the reasons for the extension and the date on which a Determination is expected to be supplied.