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Request for Information - Permit History

2. DATE:*
   DATE:

   Date of Request

4. First Name*

5. Last Name*

7. Email Address*

   Reply Email Address(es)

9. Phone Number*

   Replay Phone Number

11. Document/ Info Requested*
    -- Select One --All permit historyEPA related/ woodstove permit history onlyAll permit history and plansPlans only

    Document/ Info Requested

13. Assessor Parcel Number (APN)

15. Street Address

17. Complex/ Subdivision Name

18. Unit #

20. Building Permit #

22. Additional Information

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit Submit and Print

* indicates a required field