PSC - Item 3E - Attachment C - Letter of AgencyLETTER OF AGENCY
Los Angeles County Sheriff’s Department
TEMPLE STATION
8838 East Las Tunas Drive, Temple City, CA 91780
To: Captain Mark Reyes BUS: (626) 285-7171
Temple Sheriff’s Station FAX: (626) 286-4342
8838 East Las Tunas Drive ATTN: DESK PERSONNEL
Temple City, CA 91780
From: Date of Birth: / /
(Please PRINT Last Name, First Name, Middle Initial)
I am the (circle one of the following) owner / owner’s agent / person in lawful possession of the
property located at:
Address Apt:
City/State: Zip:
The property is (an): apartment house / business / private residence / vacant lot.
The on-site contact person is:
(Name) (Phone)
I authorized the Los Angeles County Sheriff’s Department (LASD) to arrest for trespassing (602
P.C.) any persons found on the property without my consent or without lawful purpose. I certify
that the property listed above is (check applicable sections):
Closed to the Public.
Closed to the public, and posted as NO TRESPASSING (602 P.C.).
Open to the public between the hours of and . I authorized the
LASD to ask unauthorized persons to leave the property. If they refused to do so, or
return thereafter, I authorize the LASD to arrest for 602 P.C. The property is posted as
NO TRESPASSING (602 P.C.).
My contact information is:
Address: Apt:
City/State: Zip:
Home Phone: Business Phone:
E-Mail:
I or my agent will cooperate in the prosecution of persons arrested for these offenses. I
understand that this letter is valid for a maximum period of six months and it is my
responsibility to renew the letter at that time if the need still exists.
Signature:
Print Name: Date: _________________
OFFICIAL USE ONLY
Received by Date
Hazard Hit Entered by Date