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(irdrs"44 FOR OFFICE USE ONLY
B UILDING oR PLANNING
D ATE SUBMITTED: 1 \ \
RECEIVED BY: C V / 1
CI'T'Y OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES
Planning & Development Service 1101 TEXAS AVENUE - COLLEGE STATION, TX 77840
(979) 764 -3570; (979) 764 -3496 FAX
www.cstx.gov
REQUEST FOR PUBLIC \`'t Q O U IC INFORMATION ��
INFORMATION REQUESTED 1 ✓
04.950
BUILDING PLANS PLANNING CASE FILE
DRAINAGE REPORT SITE PLAN , 'n
x L r
MINUTES OTHER (BE SPECIFIC)
DETAILED REQUEST (PLEASE BE AS SPECIFIC AS POSSIBLE.)
YEAR BUILT /DATE OF MEETING: a 003
ADDRESS : / 7 3) Ur,11,4,-6, 4 LOT# BLOCK#
13. ; I d,'"h d- ti o -)- I ti rS 5 /-70i., ,ti / � l!,
REQUESTOR'S INFORMATION
NAME: . 12 /cc I2. 4 .1.. Otli yn s L1 ..
ADDRESS: 45 0 Cpr)rr C -Cc r Zo3 6i /X 77CYO
PHONE #: 846 —3 366 FAX# 6.46' -3365-
EMAIL ADDRESS : J 17 G�f e l6a Gar5/77 S , Co %Y)
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 solicits h a de rmination.
REQUESTO SIGNATURE
I
DATE OF REQUEST
Official use only
DATE COMPLETED: ! I COMPLETED BY: ' -
111 e `er
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