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FOR OFFICE USE ONLY
BUILDING OR PLANNING
Griel44 DATE SUBMITTED: '0 ' ge-1 .
RECEIVED BY:
CITY OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES
Planning u Development Services 1 1 01 TEXAS AVENUE — COLLEGE STATION, TX 77840
(979) 764 -3570; (979) 764 -3496 FAX
www.cstx.gov
REQUEST FOR PUBLIC INFORMATION
INFORMATION REQUESTED
BUILDING PLANS PLANNING CASE FILE
DRAINAGE REPORT SITE PLAN
MINUTES OTHER (BE SPECIFIC)
DETAILED REQUEST (PLEASE BE AS SPECIFIC AS POSSIBLE.): A � �-+ hor n S (E•e5 h.) Y✓rrtijb m
YEAR BUILT /DATE OF MEETING: hoe_ = 1 9 9 \
ADDRESS: 1010 ay) /ve fir~ f LoT#3A BLOCK# 1 (011.e Lick l �lc��'f'J
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REQUESTOR'S INFORMATION
NAME: 1 GVl r� r cd i n
ADDRESS: 9 3 �3 (J Tu rieL C , / vu �; bP1 fl 770 95
PHONE #: )3_39 2 _-/ 0 3b FAX #
EMAIL ADDRESS: r rc b'7 00 1 L
In making this request, I understand that the City is under no obligation to create a document to
satisfy my request or to comply with a standing request for information. I further understand that the
information will be released only in accordance with the Public Information Act, Government Code,
Chapter 552, which may require a determination as to confidentiality by the Texas Attorney General
prior to a release. I further understand that the City of College Station has 10 working days from
the date of request in which to solicit such a determination.
1 ` 1��nI'lc� e /3
REQUESTOR'S SIGNATURE
5/2. - 7/c/
DATE OF REQUEST
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Official use only
DATE COMPLETED: l / l COMPLETED BY: .41
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