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R PLANNING
D ATE SUBMITTED: I a .63(3. RECEIVED BY: 11
CITY OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES
Planning dDcvclopn+rntServices 1101 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 X OTHER (BE SPECIFIC)
DETAILED REQUEST (PLEASE BE AS SPECIFIC AS POSSIBLE.):
YEAR BUILT /DATE OF MEETING: ?fDto
ADDRESS: j �j 1 cAr ti re_ T:3 4 F. 1 LOT # BLOCK #
C REQUESTOR'S INFORMATION
NAME: r 'G r` ` l y ��
ADDRESS: -7( a e. \c ice, e VY / �1 Ich/Y1ord T I 7L/ 0
PHONE #: ict - FAX#
EMAIL ADDRESS: elti Mc) 5 rA J O M O, \ , O
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. 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.
L CC
R ESTOR'S SIGNATURE
DATE OF REQUEST
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()j O> cial use only
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