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LAKE fl*LSINOre*Ez-,t, t)RrAn [{TprMr.
tr Building Plans
tr Certificate of Occupancy
E Conditional Use Permit
E Environmental Records
fl Grading Plans
O Hydrology Report
E Liens
tr Police Reports
tr Street lmprovement Plans (no
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RECEIVHD
JUN 2 ZNN
CITY CLERK'S OFFICE
water or sewer)
Public Records Request
1. REQUESTOR INFORMATION
First Name * Last Nat
Email*Phone Number
2. CHOOSE THE TYPE OF DOCUMENTS YOU ARE REQUESTING
Select atl that apply. lf not shown, please provide description below. *
EAgendas, Minutes, Resolutions, or Ordinances tr Bid Results
Ext.
E Building Permits
E Business License
tr Conditions of Approval
E Easement
E Fire Reports
tr Grading Permits
EI lntersection Video
ElSoil Report
OViolations
trOther
3. INFORMATION OF DOCUMENTS REQUESTED
!f document was not mentioned above, provide a brief description *
Last Name *
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tJel. Lrtyr,W^l
By submitting this request, I understand that I am responsible for all charges applicable by law for the reproduction of
said records and that the City does not have to produce records in a format in which they do not currently exist.
Property
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