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HomeMy WebLinkAboutOTH Record Requests - 11/17/2014 360-552-2757 COPY THAT REPROGRAPHICS 09:51:43a.m. 11-17-2014 1 /1 MASON COUNTY Date Stamp Department of Community Development 426 W. Cedar Street R .. Shelton,WA 98584 �' �, Ft�� '�' � Phone: (360)427-9670 ext. 352 4261 O E D S T. 1854 Fax: (360)427-77913 4,26 VV-Ffeceived`by:,T. PUBLIC RECORDS REQUEST FORM Name Phone _ p .�Q S Address Fax S3? [ WE City, tate Z' Y' �-� Email VWb- t C Parcel No. Parcel Address I OGt C&6td (r bu)4 Owner �IaML Previous Owner Type:of Records: ®Building Department Records Planning Department Records Records)requested: Please describe a specific identifiable record. Include document name,number orttdate if known. Qc�dcti �lttnlL eceSS d'y c- ic, a . wrM �Jj�t � v ❑ I would like to inspect the record(s)at no charge I would like a copy of the record(s): ❑ Mailed ❑ Faxed ❑ Emailed(if available in electronic folat.) icked up Please allow 5 business day are on to your request. RC 2.56.520 (agree to pay all copy ch es purl nt to Mason unt 's fee edule. RCW 42.56.920 I certify the information tamed t ough this re on not b sed f r ommercial purp s. RCW70(9) Requestor Signatur Date l -7 ` za ... . . .. . . . . . . .. .. .....:.. 1ClA USE ONLY:':' ::: ;:;�;::: :�::;::''°:` :::::::�'': �;': ::`:`'::;°t;;' :.�::,:� :<:: ;?::;-:::;:�. a res o ;:::;::Date.:... ..........:........:.: -.....::.........:.. .. ...:....._...N:..: :;......:..,.:..:.:.:.:.:... :..:....,:....::.....,,..:,0 Parcel:Ftles<: ::::.:.::;::.:.:.:: >:::::::.:::...:..;:,..:;:::.pPermlt Center:>:::;;::;:::.:.:.:.•.::.::::.::;::. :TId a : ............ m <;; :•.....:.. .:....... .... .. .. ......:....... ......... :.::::.�:.:.::::::::::::,.:�..:�:::;�.°::. .Email,Search De�'t ©.Meets Notes: pg..:_...............:..::.:...:•::.....:...... . .,..::.:. :. ..:.:......:.....0 Pian.:Vault:: ;:: ; ::'::;.: []:Count -Archives .... ........... Re q uest Clos d `e B Y• Records;were::❑'Mailed"'--'.: .>:<.C] Faxed ...... .......:::.......:..:.......:::.......... E ae �...... .:. ..:. . ...::......:.... .........:..:.;. ...:. m.!l.d...::::.`:.D.�,Picked..up:` :;::::.: Fees:Due$ ;:�:•.;;�':°:.::;.::::.::�:: .;�:_:::�` >.:: ': :Notes:...:::........:.............. . .....:.... .:. Make checks payable to the Mason County Treasurer