HomeMy WebLinkAboutPRR24322 Kasarjian - 424 Higuera St Building PermitsUpdated 0512023
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The California Public Records Act (Government Code 7921. et set.) was enacted to ensure public
records 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 email address that is listed on this form, unless directed
othenrise 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 prys +as1a r)l)t.t-Date //-t-a-'v
Last First
City of San Luis Obispo
Request for Public Records
Address:
Street & Unit #City State zip
Email phone:
Release Forms
Requests for certain public records legally require release forms to be submifted 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.
o 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
o 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 architecUengineer 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. ln-oerson viewing of plans do not require release forms.
Cooies of Pl ans Affidavit
Plan Reo uest Arch noineer Authorization
o
o
o Plan Reorrest Owner Authorization
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Record lnformation: List the records you are requesting. Specrfy relevant information such as;
su bject, title, in cide nt n u m be r, locati on/add ress, person (s) i nvo lved,project name, etc.
Date and Time: Spectfy the incident date or date and time range of the requested records
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Questions may be directed to the City Clerk's Office at (805) 781-7100.
Submit Gompleted Forms To:
citvc le rk@s loc itv.o rq
OR
City Glerk's Office
990 Palm Street
San Luis Obispo, GA 93401
YOUR REQUEST WILL BE PROCESSED lN COMPLIANCE WITH THE PUBLIC RECORDS ACT (PRA). California
Government Code Section 7921 . An Agency shall notifo 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. ln some instances, an Agency
may require an extension of up to 14 days to provide a Determination, as authorized by the PRA. A notice will be provided to the
requestor sefting forth the reasons for the extension and the date on which a Determination is expected to be supplied.