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COAV FOR OFFICE USE ONLY
BUILDING oR PLAN ING
DATE SUBMITTED: } /"7 l '
R ECEIVED BY: 11 l
CITY OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES f
P liar +ing& Deuelopment Service. 1101 TEXAS AVENUE - COLLEGE STATION, TX 77840
(979) 764 -3570; (979) 764 -3496 FAX
www.cstx.gov .1: \2 0
REQUEST FOR PUBLIC INFORMATION Y10)
INFORMATION REQUESTED .��
X BUILDING PLANS PLANNING CASE FILE ' e t 1
DRAINAGE REPORT SITE PLAN %VC
MINUTES OTHER (BE SPECIFIC)
DETAILED REQUEST (PLEASE BE AS SPECIFIC AS POSSIBLE.) :
YEAR BUILT /DATE OF MEETING: 2 DO Li-
ADDRESS : 1 - 7v Uo j i,- LOT# BLOCK#
Rril'Sinoi/4 9/ 11
I a REQUESTOR'S INFORMATION
NAME: Tv a 0 L� c. I. 4S, e t h I t L—
ADDRESS :L CiJI-c' C /teL 5 2 03 6. /ycf 3 71 14
PHONE #: 8 Li. 6_33GG FAx# gob — 336 5"
EMAIL ADDRESS : j .}..r h0 d e `,, I~d,SI` ,is , Ld ,-).)
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.
A E ESTOR'S SIGNATURE
E
7— //
DATE OF REQUEST
Official use only 9
DATE COMPLETED: , \\ COMPLETED BY: �,
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NO. OF ORIGINAL PAGES: 9S COST: $ 9r.