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2. First Name*
3. Last Name*
5. Requester's Address
7. Requester's Address 2
9. Requester's City
10. Requester's State
11. Requester's Zip
13. Requester's Phone Number
14. Requester's Email Address*
16. Is this a commercial request?*

    1. Yes

    1. No
18. Site Address*
20. Permanent Parcel Number
22. Site Address 2
24. Records*
    Please describe the public records you wish to recieve. In order to expediate the search for the records, please be as specific as possible.
26. Department*

    1. Engineering
    2. Building

    1. Other
28. Signature of Requester
    The City will respond to this request withing five (5) working days.
30. Do you agree?*

    By clicking ?I agree,? you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your ?electronic signature? is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print

* indicates a required field