HomeMy WebLinkAboutOTH Record Requests - 6/22/1999 N LAND & HOMES 998 P01 JUN 22 199 11:19
ITY RESEARCH REQUEST FORM
/ CEDAR STREET SHELTON, WA 98584
NONE # 427-9670 FAX # 427-7798
,LOW UP TO 72HOURS FOR CONWLETION
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SEPTIC RECORDS: AGE OF SYSTEM:
. WATER SAMPLE: DATE OF SAMPLE:
PRESENT OWNERS NAME:
ORIGINAL OWNERS NAME: 6-uc� hvau�
LEGAL DESCRIPTION 3 o-1
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PARCEL #:(twelve digit tax parcel) - 1 ✓ - ��
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REASEARCH TO BE: MAILED: F PICKED UP:
COUNTY STAFF PERSON ACCEPZING REQUEST:
nr o.1 rya rnMbr 14TR M FOLLOWING FOR ANY LARGE REQUESTS FOR PUBLIC RECORDS (l.e-
REOUESTS FROM ATTbRNEY'S PO,T'ENTLV LII'IGAT", DISPUTES COMPLAINTS ECT...)
Description of records requested and purpose for review:
RCW 42.17.020. I certify that the information obtained through this request will be used
only for the reasons stated and will not be used for commercial purposes.
Signature Date
RCW 42.17310. During file review, any pages you wish to have copied (excluding non-
public record documents) must be tagged and charges will be assessed at .10 per page.
Copies can be mailed or you may pick them up when ready. Copy charges must be prepaid.
COUNTY USE ONLY:
RESEARCH C014PLETED BY: DATE:
AMT DUE: RECEIPT #: