Records Request
Date of Request
*
-
Month
-
Day
Year
Date
Type of Request
*
Building Records
Engineering Records
Other
How would you like the information delivered?
*
Mail
Email
Fax
Pick Up
Contact Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Fax Number
Please enter a valid Fax Number If Applicable.
Information Requested
Location of request: (address, legal description, etc)
*
Address of Requested Information (if applicable):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Description of Information Being Requested
*
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