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D, )t")'6'1yf) Kts SANTA ANA FIRE DEPABTMENT 1439 S. BBOADWAY SANTA ANA, CALIFORNIA 92707 (714) 647-5700 RELEASE OF PROPERTY AFTER EMERGENCY INCIDENT The Santa Ana Fire Department. in the intere oI the sa and weq lfare o, the communi ty al assumed control of the property located at The necessity for assuming control ol the property was because of t-rww Pursuant to thJ conditions contained herein, as off=t) Qr.e 1* 1Dz:, li rLXtJ DllI (rime ) g- 9-t1 (date), the subject properly is released to -1 (time)y-7.\(date), (name), who is the owner ( ), owner's representative ( tative oI the owner. ), or tenant ( ), and is to be under the control and the responsibility of the owner and/or a responsible represen. YOU ARE H E REBY PLACEO ON NOTICE OF THE FOLLOWING CONDITIONS (Check applicable conditions) \ 1y' A rekinarc or second fire lrom a hot spot is possible. The Fire Oepartment recommends that a fire watch, with a meanstoextin- guish hot spots, should be posted lor 24 hours. ( ) The lollowing utilities: electricity ( ), gas ( ), water ( ), serving the property have been shut off. lt is advisable to contact the appropriate utility company before restoring the service. (tJ-- The structure may have been weakened by the incident. Until a structural survey can be made, it is advisable to keep all unneces. sary people out ol and away from the building. (eLl Buildings that cannot be locked or secured by normal means musl be secured by alternative means. Barricades and/or rencing are required to prevent unauthorized entry. lt may be necessary to provide a security 9uard. ( !],- Rebuilding and/or repairing the damage will require permits (e.g., building, electricsl, etc.) lrom the City of Sants Ana's Oeparlment ol Building Safety. They may be contacted Monday through Friday between the hours ol8:00 a.m. and 5:00 p.m. by calling (714) 647-5800. (+/ The Santa Ana Fire Department and the Santa Ana Police Department are given the right to rs-enter the property at reasonable hours, should their investigation of this incident require such re-entrla ( ) Other precautions/conditions (specify) The conditions listed above are not all-inclusive. They are intended as a guide tor the City's Fire Department in exercising their discre- tion in providinq emergency arsistance advice. lnlormation concerning copies of reports lor this incident can be obtained by calling the Fire Departmenl Busine Oflice at (714) 647-5700, You may be entitled io a reassessmenl and subsequent reduction ol your property tax as a result of this incident. For turther intormation, contact the Orange County Assessor's Otfice at {714) 834-7855, Monday through Friday, between the hours ol 8:00 a.m. and 4:45 p.m. Signed Date Y-t-tr Owner {r's Representative ( ) Tenant ( ) Santa Ana Fire Department _tt Signed SAF -Z B cc; Director ol Building Safety 22.2-7 Officer in Charge Assignment c.s.512 Monday through Friday, between the hours of 8:00 a.m. and 5:00 p.m. Please refer to lncident No- \^" () Y/,-