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City of Santa Ana <br />10 Code Enforcement Division <br />20 Civic Center Plaza <br />Santa Ana, CA 92701 ADMINISTRATIVE CITATION <br />#AC a <br />OBS SWP ASGND <br />An inspection of the following premises revealed violations of the Santa Ana Municipal Code: <br />Address/Location: Santa Ana, CA, Zip <br />Business Name: <br />Responsible <br />Person (s): <br />Address: / <br />City/State/Zip: 4AJ D/)r� �d <br />Customer # <br />CDL/ID#: <br />ZONE CDBG#� r <br />APN# <br />WARNING NOTICE <br />As of at am / pm, you are in violation of Santa Ana Municipa_1 Code Section(s): <br />SAMC Code Section Description of Violation(s) Corrections Required <br />/ T IAJ a <br />k3 <br />Vehicle Yr: Make: Model: is#NIN: <br />CORRECTIONS REQUIRED: ( ) Refer to "Violation Sheet" ( ) Reflp6�attached "Continuation of Violations" <br />IMPORTANT! Corrections must be completed within how's / days. Comply by (date) <br />The inspector may conduct a drive -by compliance inspection. will be notified in writing with the Notice of Administrative Fine <br />if you are not in compliance (see section below). You en be liable for a fine in the amount of $100, $200, $500 and/or <br />$1000, $2500, $5000. (These fines are subject to ge pursuant to California Government Code Section 36900.1 <br />In addition to the fine, you may be cited each that the violation exists beyond the correction date. Other enforcement action and <br />penalties may also result if compliance iwilbot achieved by the correction date. <br />Received by: Phone#: <br />INSPECTOR: r CP# PHONE #: (714) Monday through Friday <br />Date Warning Mailed: CP# Date Complied: CP# <br />NOTICE OF ADMINISTRATIVE FINE <br />As of {�' �d at Ai %pm, you are in violation of Santa Ana Municipal Code Section(s): <br />SAMC Code Section Description of Violation(s) <br />c E-7 QU 01A Pr< TrL/ ! r-! 6 - T ,� <br />See Attached Addendum Report <br />I sT CITATION $ -'" IS NOW DUE AND PAYABLE. <br />( ) 2" CITATION $ IS NOW DUE AND PAYABLE. <br />3RD CITATION $ IS NOW DUE AND PAYABLE. <br />4" CITATION $ IS NOW DUE AND PAYABLE <br />Pursuant to Santa Ana Municipal Code Section 1-21.8, you have 15 days from the date of this administrative fine to file an appeal. <br />(See the reverse side of this Notice for payment and appeal information relating to a Request for Administrative Hearing.) <br />Received by: Print Name: <br />( ) Refu§ed.to sign. Served via personal service. �r� /�� �( CP# <br />(V 1 Served Certifi d d First Class mail Date: ! L # t <br />`) I CP# 1 <br />Signature (O )cer �^��� Print Name <br />Phone # 714 l Monday through Friday <br />Case# l FZ:3 1 076 1V ED# is <br />