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Public Records
Request
1. REQUESTOR INFORMATION
First Name *
David Wells
Last Name *
AIA
E-mail *
Phone Number Ext.
0
2. CHOOSE THE TYPE OF DOCUMENTS YOU ARE REQUESTING
Select all that apply. If not shown, please provide description below *
Agendas, Minutes, Resolutions, or Ordinances Bid Results
Building Permits Building Plans
Business License Certificate of Occupancy
Conditions of Approval Conditional Use Permit
Easement Environmental Records
Fire Reports Grading Plans
Grading Permits Hydrology Report
Intersection Video Liens
Park/Facility Video Police Reports
Soil Report Street Improvement Plans (no water or sewer)
Violations Unknown
Other
What violation(s) are you requesting?*
Building/Code Fire Vacant Lot
3. INFORMATION OF DOCUMENTS REQUESTED
Supporting Documentation (Optional)
Property Address of Documents Requested
Street Address
Broadway Manor 16366-16448 Broadway, lake elsinore CA 92530
Address Line 2
City
lake elsinore
State/Province/Region
California
Postal/Zip Code
92530
Country
USA
Date Range for Documents (If Applicable)
From To
1970-01-01 2022-11-14
4. SIGNATURE
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
11/22/22, 11:39 AM Message Start Event
https://lookout.lake-elsinore.org/Forms/form/submission/history/936/6223?hideHeader=true&showInstanceDetails=false&fromInstances=true 2/2
have to produce records in a format in which they do not currently exist.
Signature *Date
2022-11-14