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2. DATE:*
   DATE:
   Date of Request
4. First Name*
5. Last Name*
7. Email Address*
   Reply Email Address(es)
8. Phone Number*
   Replay Phone Number
10. Document/ Info Requested*
    -- Select One --All permit historyEPA related/ woodstove permit historyAll permit history and plansPlans only

    Document/ Info Requested

12. Assessor Parcel Number (APN)
13. Street Address
15. Complex/ Subdivision Name
16. Unit #
18. Building Permit #
20. Additional Information
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit Submit and Print

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