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PRR18284 - Connolly - Copy of Police Ticket�1ZIZ i8a8q city of San tuts OBlspo Request fOR puBtIC RCCOOs (Return to City Clerk's Office) RECEIVED Nov o 7 2018 ,SLO CITY CLERK The California Public Records Act (Government Code 6250. et sec.) 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: 1" ` 6 � O 1 DATE OF REQUEST: ADDRESS: 4'1 �' i1t �((1 �1 (; ' E-MAIL: d ( C QA . CAQI PHONE: "I FAX: INFORMATION NEEDD: For each record, describe type, date, subject, title, etc. Please be very specific. tLp Ua( t;&K,e,f or oo in Jam L' S . l lObd oJ v 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 or in part, 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 reasons 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 on which a determination is expected to be dispatched. No notice shall specify a date that would result in on 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. 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: 1)The 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. 3)The 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