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City Of San luiS OBISPO
' izequest fOR puBIIC QECOR4)s
(Return to City Clerk's Office) SLO CITY CLERK
The California Public Records Act (Government Code 6250. et seg.) was enacted to ensure public access to public records.
This form will enable us to accurately and efficiently fill your request. With the exception of certain State -mandated
records, or records that exceed the standard size, copies are $.40 per page (standard or legal size). DVDs of City Council or
Planning Commission meetings are $29 each.
NAME: VG lr�m l Ssoy
f
ADDRESS:
PHONE: (6 24) 228-Wa
DATE OF REQUEST: 11A // %
E-MAIL: V-4K61Lo J 0 C4 CCe airy
FAX:
INFORMATION NEEDED: For each record, describe type, date, subject, title, etc. Please be veryspecific.
T UVl2vl,� Tice $4 4 4"4h44h &0 c.1 �m C-4—grad t J9I ��C cs Jq6G-Ae a4
YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT.
California Government Code Section 6253 (c). Each agency, upon a request for a copy of records, shall, within 10 days from receipt of the request determine whether
the request in whole at in pail, seeks copies of disclosable public records in the possession of the agency and shall promptly notify the person making the request of
the determination and the reajans therefore. in unusual circumstances, the time limit prescribed in this section may be extended by written notice by the head of the
agency or his or her designee to the person making the request setting forth the reasons for the extension and the date an which a determination is expected to be
dispatched. No notice shall sp#cify a date that would result in an extension for more than 14 days.'
If you need assistance with this request or wish to review the records on site, please call the City Clerk's Office in advance at 781-7100
to schedule an appointment. The City Clerk's Office is located at 990 Palm Street, San Luis Obispo, CA 93401. You may email your
request to cityclerk@slocity.org.
Vartan Assoyan
Investigator
(626) 228-4466
4399 Santa Anita Ave., Suite 100 (626) 444-8355 Ext. 112
EI Monte, CA 91731 (626) 444-8173
W01W.SOCAL000.ORG VARTANA@SOCALCCC.ORG
FOR OFFICIAL USE ONLY
Forwarded to:
Date Completed:
Charge (if any):
Mailed:
E -Mailed:
Picked up:
1
As used in this section, unusual circumstances" means, but only to the extent reasonably necessary to the proper processing of the particular request: 1JThe need to
search for and collect the requested records from field facilities or other establishments that are separate from the office processing the request. 2) The need to search
for, collect and appropriately examine a voluminous amount of separate and distinct records which are demanded in a single request. 3iThe need for consultation,
which shall be conducted with all practicable speed, with another agency having substantial interest in the determination of the request or among two or more
components of the agency having substantial subject matter interest therein.
G:\Blank Forms and Templates\Request for Public Records 08/16