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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
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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

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