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B UILDING o P LAN ING
D ATE SUBMITTE1.
RECEIV BY: Rjll
CITY OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES
PIanning Development Services 1101 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.) :
YEAR BUILT /DATE OF MEETING: Zt
ADDRESS I -103 z_ \Zoek V� Srtq O LOT# BLOCK#
REQ INFORMATION
NAME: avr , opLc� \ , � � \--Q.-- 2 //
ADDRESS : Z 7 � c -a�✓f 1`�titi� f 5 e- 3 cr, C, T� 77tis
PHONE #: 'Z lb - 2.3 l - (' 7 FAx #f ' 3
EMAIL ADDRESS : � � k t - e - .
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.
REQUESTO I 'S SIGNATURE
20 //
D OF REQUEST
Official us only
DATE COMPLETED: 1 9' I COMPLETED BY: a�1 �� t ;
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