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Print Form " �I
FOR OFFICE USE ONLY
BUILDING oR PLANNING
(4114111111 DATE SUBMITTED:
RECEIVED BY:
CITY OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES
Manning d 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 1/ SITE PLAN
MINUTES OTHER (BE SPECIFIC)
DETAILED REQUEST (PLEASE BE AS SPECIFIC AS POSSIBLE.)
YEAR BUILT /DATE OF MEETING:
A AD DDREESS : � >�Q- > p 3_ LOT# BLOCK #/fie -1 JJ—) I 0(3 � - /). .7
/2 9 X /7 kr-) ; rl r per m i / 5c. 177`"e
•
REQUE TORS INFORMATION
NAME: /4
ADDRESS : 2 TF = r1G � 5 A f / y L���C� V�IQ!
PHONE #: q 79 _ J/ - 3 , 6Z/ F #
EMAIL ADDRESS: ' i(y C.�til I rk r /I)((n . (•OO \
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 nformation Act, Government Code,
Chapter 552, which may require a determination as to, onfide iality by the Texas Attorney General
prior to a release. I further understand that'' City • olle• :' Station has 10 working days from
the date of request in which to sal' ksucii , rmi Ion. /
'/ / mfr.
// / ESTOR'S %IG TURE
/l —! 4 / //
DATE OF REQUEST
Official use only
DATE COMPLETED: COMPLETED BY:
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