HomeMy WebLinkAboutOTH Record Requests - 12/27/2010 MASON COUNTY Date Stamp `{ �-• "1/C7�
Department of Community Development D 11 4VC�
A PO Box 186 JAN 0 & 2011 U
426 W. Cedar Street
- Shelton, WA 98584 MASON COUNTY- -" Phone: (360)427-9670 ext. 352 ,
Fax: (360)427-7798
Received by:
PUBLIC RECORDS REQUEST FORM
Name �. Phone
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Address 3080 Fax
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City State,Zi a Email
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Parcel No. t 2 2 I 1--Z-�- Parcel Address
Owner S4`cj*, of W434t17 G t Previous Owner
Type of Records: Building Department Records SPlanning Department Records
Record(s) requested: Please describe a specific identifiable record. Include document name, number or date if known.
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❑ 1 would like to inspect the record(s)at no charge
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I would like a copy of the record(s):4Mailed ❑ Faxed )W Emailed (if available in electronic format) ❑Picked up
Please allow 5 business days for a response to your request. RCW 42.56.520
1 agree to pay all copy charges pursuant to Mason County's fee schedule. RCW 42.56.120
1 certify the information obtai"d through this request will-not be used for commercial purposes. RCW 42.56.070(9)
Kequestor Signature jWU "
OFFICIAL USE ONLY
❑ 5-Day response Date:
Search Criteria Used
❑ Scanned Records ❑ Parcel Files ❑Permit Center
❑Tidemark Files ❑ Email Search ❑ Planning Dept.
❑ Meeting Notes ❑ Plan Vault ❑ County Archives
Request Closed -By: Date:
Records were: ❑ Mailed ❑ Faxed ❑ Emailed ❑ Picked up Fees Due$
Notes
Make checks payable to the Mason County Treasurer
Gce, C � tole h e.