HomeMy WebLinkAboutOTH Record Requests 06l3012008 14:43 5616240922
THE UPS STORE PAGE 01
Form
mason CountY Public Rcche
ordS Reques 98 �
426 W. Cedar Street,PO Box 186, S1 o . 98
phone: (360) 427-9670 X-352 Fax: (36 ) 427 7
I would like information: Mailed zFaxcd_picked Up_p�
4 e
Requesters Name:
Company Representing:
ail: V"1- 06
Ern
City.
Address: �-
� State: LL Zip:
Fax:
Phone: - ---
Parcel No-
22� 3� - , ,��-
Parcel Address: l�
9
Owner: �� r Previous owner
Please Provide Records For The Following:
g Dept. ,Building Dept.
Plannin
�xavironmeutal Health. _____ p
Please specifically describe what records or kind of records you are request'
S r
e used
RCW 42.56 I certify that the information obta
f
commercial purposes. Signature Required:
Requests may be charged per RCW 42.56. During file review any pages you wish to
d charges
ll
have copied (excluding non public record documents)must bbetagged edn a higher rate
be assessed at .15 cents per. copy. Larger than 8.5 x 11 will g
as established by Mason County postage
e rates will apply
In addition to the per copied page fee standard
Make Cheeps Payable To: Mason County Treasurer; Total Fees Due:_
R Official Use Only /
Completed ay +w v Ext. =� Date-
3-4 / c7
Notes:
*Please allow 5�busin ow snd aaaysi�3�u����onivc td two your� �e�quest*
if items arc being ma p
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