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City of Santa Ana <br />IClerk of the Council <br />AGREEMENT TERMINATION FORM <br />Please complete this form in its entirety when the attached agreement and all <br />amendments (if any) are no longer in effect. <br />Note: If your agreement is grant related, please ensure that all grant retention requirements <br />have been satisfied prior to signing the termination form. <br />Is the agreement(s) a permanent record? Yes ❑ No <br />Return form to the Clerk of the Council Office (M-30). <br />Call 647-1520 if you have any questions. <br />The agreement with <br />I�C.7 <br />JLEE ENGINEERING INC. <br />COTC Office Use Only <br />OF THE C'JUNc'Ii_ <br />13'22 Am9:47 <br />A-2019-199-02 was com feted on ' f I Z�and final a ment has b d <br />(List all amendments. <br />p p y een ma e. <br />Use space below if needed) <br />i9agmemenlsVormsVom - agreement teiminadon fom—Aoldenrod.dx <br />Department: Planning and Building <br />Phone/Ext.: X2717 <br />Signature: <br />�A V <br />Date: 07/12/2022 <br />