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doc10755 c7b3ccac-7e09-4e22-ac18-9f6c5326da13_Application_for_Appointment-artifacted.pdf

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Page 1

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Page 3

49 item(s) JSON
figure (1) footnote (3) form_field (25) list (1) list_item (3) table (2) table_cell (7) text (7)
Page 3
1 · FORM_FIELD
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4 · TABLE
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35 · TEXT
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42 · FOOTNOTE
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46 · FOOTNOTE
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                        "label_source": "parent_text",
                        "label_ref": "p3.11"
                    }
                },
                {
                    "id": "p3.11.2",
                    "order": 39,
                    "type": "form_field",
                    "bbox": {
                        "l": 144.045,
                        "t": 404.737,
                        "r": 159.028,
                        "b": 392.016
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                    "text": "Off",
                    "attrs": {
                        "field_kind": "radio",
                        "label": "Secondary",
                        "pdf_field_name": "S",
                        "source": "acroform",
                        "label_source": "parent_text",
                        "label_ref": "p3.11",
                        "text_offset": 0,
                        "text_span": 0
                    }
                },
                {
                    "id": "p3.11.3",
                    "order": 40,
                    "type": "form_field",
                    "bbox": {
                        "l": 277.582,
                        "t": 404.687,
                        "r": 292.565,
                        "b": 391.966
                    },
                    "text": "Off",
                    "attrs": {
                        "field_kind": "radio",
                        "label": "Secondary",
                        "pdf_field_name": "S",
                        "source": "acroform",
                        "label_source": "parent_text",
                        "label_ref": "p3.11"
                    }
                },
                {
                    "id": "p3.11.4",
                    "order": 41,
                    "type": "form_field",
                    "bbox": {
                        "l": 429.708,
                        "t": 404.148,
                        "r": 444.692,
                        "b": 391.427
                    },
                    "text": "Off",
                    "attrs": {
                        "field_kind": "radio",
                        "label": "Secondary",
                        "pdf_field_name": "S",
                        "source": "acroform",
                        "label_source": "parent_text",
                        "label_ref": "p3.11"
                    }
                }
            ]
        },
        {
            "id": "p3.12",
            "order": 42,
            "type": "footnote",
            "bbox": {
                "l": 46.08,
                "t": 405.36,
                "r": 488.16,
                "b": 390.96
            },
            "text": "Mobile Phone # ○○ Home Phone # □□",
            "attrs": {
                "block_label": "vision_footnote"
            },
            "children": [
                {
                    "id": "p3.12.1",
                    "order": 43,
                    "type": "form_field",
                    "bbox": {
                        "l": 262.499,
                        "t": 404.876,
                        "r": 276.728,
                        "b": 391.778
                    },
                    "text": "Off",
                    "attrs": {
                        "field_kind": "radio",
                        "label": "Primary",
                        "pdf_field_name": "P",
                        "source": "acroform",
                        "text_offset": 16,
                        "text_span": 1
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                },
                {
                    "id": "p3.12.2",
                    "order": 44,
                    "type": "form_field",
                    "bbox": {
                        "l": 128.962,
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                        "r": 143.191,
                        "b": 391.639
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                    "text": "Off",
                    "attrs": {
                        "field_kind": "radio",
                        "label": "Primary",
                        "pdf_field_name": "P",
                        "source": "acroform",
                        "text_offset": 15,
                        "text_span": 1
                    }
                },
                {
                    "id": "p3.12.3",
                    "order": 45,
                    "type": "form_field",
                    "bbox": {
                        "l": 415.002,
                        "t": 404.336,
                        "r": 429.231,
                        "b": 391.238
                    },
                    "text": "Off",
                    "attrs": {
                        "field_kind": "radio",
                        "label": "Primary",
                        "pdf_field_name": "P",
                        "source": "acroform",
                        "text_offset": 31,
                        "text_span": 1
                    }
                }
            ]
        },
        {
            "id": "p3.13",
            "order": 46,
            "type": "footnote",
            "bbox": {
                "l": 453.84,
                "t": 403.68,
                "r": 484.08,
                "b": 392.64
            },
            "text": "Fax #",
            "attrs": {
                "block_label": "vision_footnote"
            },
            "children": [
                {
                    "id": "p3.13.1",
                    "order": 47,
                    "type": "form_field",
                    "bbox": {
                        "l": 450.84,
                        "t": 427.32,
                        "r": 573.36,
                        "b": 404.76
                    },
                    "text": "",
                    "attrs": {
                        "field_kind": "text",
                        "label": "Fax #",
                        "pdf_field_name": "Fax Number",
                        "source": "acroform",
                        "label_source": "parent_text",
                        "label_ref": "p3.13"
                    }
                }
            ]
        },
        {
            "id": "p3.14",
            "order": 48,
            "type": "footnote",
            "bbox": {
                "l": 48,
                "t": 392.64,
                "r": 572.16,
                "b": 380.16
            },
            "text": "[p3.14.1]Please note which number above is your primary by marking the first radio button or secondary by marking the second radio button.",
            "attrs": {
                "block_label": "vision_footnote"
            },
            "children": [
                {
                    "id": "p3.14.1",
                    "order": 49,
                    "type": "text",
                    "bbox": {
                        "l": 48,
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                        "r": 572.16,
                        "b": 380.16
                    },
                    "text": "^{*}",
                    "attrs": {
                        "inline": true,
                        "text_offset": 0,
                        "text_span": 9,
                        "bbox_estimated": true
                    }
                }
            ]
        }
    ],
    "excluded_furniture": {
        "first": [],
        "last": [
            {
                "id": "p3.f1",
                "order": 50,
                "type": "footer",
                "bbox": {
                    "l": 49.68,
                    "t": 45.6,
                    "r": 404.88,
                    "b": 21.36
                },
                "text": "BOARD OF SUPERVISORS\n200 West 4th Street · Madera, CA 93637 · 559.675.7700 · madco311.com · maderacounty.com",
                "attrs": {
                    "block_label": "footer"
                }
            },
            {
                "id": "p3.f2",
                "order": 51,
                "type": "footer",
                "bbox": {
                    "l": 485.04,
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                    "r": 530.16,
                    "b": 30.48
                },
                "text": "",
                "attrs": {
                    "block_label": "footer_image"
                }
            }
        ]
    }
}