01042024-1200 S. Anaheim Blvd., Suite 217
Anaheim, CA 92805
714) 765-5166 • fax (714) 765-4105
www.anaheim.net
Request for Public Records
Page 1 of2CityofAnaheim
Office of the City Clerk
STEP 1:COMPLETE all fields on this form. This form is to facilitate and expedite the processing of your public records request.
Describe identifiable records in the possession of the City; your request must be sufficiently focused and specific to
allow the City to locate the requested record(s).
STEP 2:SUBMIT completed form by mail, fax, email or in person to Custodian of Records, Office of the City Clerk,
200 S. Anaheim Blvd., Suite217, Anaheim, CA 92805; tbass@anaheim.net fax: (714) 765-4105
STEP 3:WAIT to receive a response from the City. The City shall determine within 10-days from receipt of a public records
request, whether the request, in whole or in part, seeks copies of discloseable public records in possession of the City
GC 7927.535(a)]. Please note that if you are requesting the opportunity to inspect records, you will be requested to
make an appointment to return at a later date/time to view the documents.
Charges for the direct cost of duplication will apply . Documents will not be copied until payment has been received. If
payment is not received within 20 days after invoice is sent, you may be required to submit a new request. Please see
backside for additional information.
REQUESTER INFORMATION
Full Name:Date:
Company Name:
Mailing) Address: City/State/Zip Code:
Phone number: Email:
Preferred method of contact in the event of questions:
Cheryl King 1/4/24 2:09 PM
NV5 Bock & Clark Corporation
73069
com800-
Email
DESCRIPTION OF REQUESTED RECORD(S): (Describe the specific public record(s) e.g., date, type, time period covering documents requested etc)
January 4, 2024
Subject Property: Ralphs
711 S Weir Canyon Road
Anaheim, CA 92808
Parcel # 35420122
Dear Municipality Official,
At our client’s request, we are seeking the following information:
The information entered to request for public records is continued on succeeding page(s)
I understand that I will be contacted once documents have been identified. If production of records is requested, an estimated cost will be
provided to me and I agree that I will be required to submit payment for duplication costs (and mailing) prior to the production of the
requested documents.
Please note that information contained in any PRA request is a public record and may be subject to public inspection pursuant to the
California Public Records Act.
I wish to inspect City records Will Pick-Up Records
Electronically Signed/Submitted 1/4/24 2:09 PM
SIGNATURE OF REQUESTER
X Please Mail
200 S. Anaheim Blvd., Suite 217
Anaheim, CA 92805
714) 765-5166 • fax (714) 765-4105
www.anaheim.net
Request for Public Records
Page 2 of2CityofAnaheim
Office of the City Clerk
DESCRIPTION OF REQUESTED RECORD(S)-Continuation
Any Variances, Special Permits, Conditions, etc: Please note the existence of these items as they relate to the subject property and
supply documentation, if available.
Code Violations: Please note whether or not there are currently any open/outstanding zoning, building or fire code violations of record
that apply to the subject property
Planned Public Improvements/Roadway Condemnation: Please note whether or not there are currently any planned public
improvements/roadway condemnation that would affect the subject property.
Certificates of Occupancy: Please supply copies of any existing certificates of occupancy for the subject property. If none are
available, please state the reason for this and whether there is any expected enforcement action due to the lack of certificate copies.
Approved Site Plan and/or Conditions of Approval, if applicable: Please supply available documents, particularly if the subject
property is located in a Planned Development.
Please advise us at your earliest convenience of any additional fees or forms, if any of these items is not available or if I should be
directing any portion of my request to another party. We are on a strict timeline, and your prompt attention to this request is greatly
appreciated. Upon completion, please forward the information via email or toll-free fax (We truly appreciate your help with
this request and look forward to your reply. Please feel free to contact me toll-free at (800) 787-8390 or via email at
with any questions or concerns you may have regarding this request.
Thank you very much for your assistance!
Cheryl King
Cheryl King, Bock & Clark Corporation