HomeMy WebLinkAboutOTH Record Requests - 3/17/2010 ♦�°�' rA MASON COUNTY Date Stamp ���
Department of Community Development Ei jT>T
PO Box 186 Y'Rn
426 W. Cedar Street MAR 1
Shelton, WA 98584 4 20/Q
18 Phone: (360)427-9670 ext. 352 6W.
Fax: (360)427-7798 C '41� ST
Received by:
PUBLIC RECORDS REQUEST FORM
Name Phone
Address Fax
v 3 7 53 -�
City, State, Zip Email
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Parcel No. ZOa3 �302. �Q��� Parcel Address
Owner �D1[c, /q S � Previous Owner
Type of Records: >4uilding Department Records ❑ Planning Department Records
Record(s) requested: Please describe a specific identifiable record. Include document name, number or date if known.
❑ I would like to inspect the record(s) at no charge
I would like a copy of the record(s): ❑ Mailed axed ❑ 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 obtained through this request will notbe used for commercial purposes.22RCW 42.56.070(9)✓
Requestor Signature ,e2,y�l/ l Date — 1;2—ld
.:._. OFFICIAL USE ONLY
❑ 5-Day response Date:
Search Criteria Used
❑ Scanned Records ❑ Parcel Files ❑Permit Center
❑ Tidemark Files ❑ Email Search _V -_ ❑ 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