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F – Return Reply Form (RRF) Sample

Cupertino City Council
January 18, 2022

Document
F – Return Reply Form (RRF) Sample
Meeting
January 18, 2022
Body
Cupertino City Council
Original file
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Text extracted from the city's file for reading and search. Open the original on legistar.granicus.com. That file is the official record.

2022 Return Reply Form
IMPORTANT: Please complete this form and mail back to the Weed Abatement Program within 15 days of receipt of this notice. Thank you.

KAISER FOUNDATION HOSPITALS
TRA: 7-014
I llllll lllll 111111111111111111111111111111 11111 IIUI 1111101

KAISER FOUNDATION HOSPITALS
1 KAISER PLAZA 15TH FL
OAKLAND CA 94612
Parcel Number Site Address
316-09-045 3800 HOMESTEAD SANTA CLARA
Please check the box that
applies for each parcel
(.see explanations below):

A B C
D D D
*316-09-045*
A I am no longer the owner of this property, and the new owner information is listed below. Please return Reply Form immediately.

B I intend to maintain this parcel in a manner consistent with the Minimum Fire Safety Standards from March 01, 2022 through the end of the fire season (typically runs through October). All parcels on the abatement list remain subject to inspection to ascertain compliance. Non-compliance by the deadline will result in an inspection fee or the abatement of weeds by the County contractor and the resulting charges added to the property tax.

C I request that the County contractor perform weed abatement work on this parcel. Charges for this work will be added to my property tax bill. (All County fees apply)
Please provide any additional information such as new owners, presence of piping, irrigation, crops or other improvement. If your property is fenced/locked, please provide instructions on how to enter the property. If you are no longer the owner of the property identified by this mailing, please notify the County immediately. If you sell your property after December 1st, 2021, it is your responsibility to notify the new owner and to include the obligation to pay any abatement costs in your agreement of sale. Without taking this action, you will be liable for all hazard abatement charges assessed to the property. Thank you.

D Please check if you feel this parcel is environmentaly sensitive.

Signature Name (please print) Date Day time phone
Sample

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