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FOR OFFICE USE ONLY
BUILDING OR PLANNING
cirri DATE SUBMITTED:
RECEIVED BY:
CITY OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES
Planning (l ( ?nrlopmrnr Srnvirn 11 01 T EXAS 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.): r ` r �' r n /,-
YEAR BUILT /DATE OF MEETING: Za t
ADDRESS: i LOT # BLOCK #
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DNi-\ V&c -h 4 Zi
REQUESTOR'S INFORMATION
NAME: 0-- ScL,,+ 2_
ADDRESS: 1 tiU X �f e je (- t ( `, 7cL 7 7 6 7
AX 6 - �9/ �
EMAIL ADDRESS: ,b ti„l.A-z.61e v r,, Z, �• r.. t
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. 1 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, 1 further understand that the City of College Station has 10 working days from
the date of request in which to solicit such a determination.
R UES9'OR'S SIGNATURE
DATE OF REQUEST
Official use only
DATE COMPLETED: COMPLETED BY: AA 1 9,1►,
No. OF ORIGINAL PAGES: COST: $
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