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2. Instructions
   Completion of this form is optional. This form is provided for your convenience. You are not required to provide your name to review or obtain copies of disclosable public records.
4. Name of Requestor
5. Agency / Company
6. Email Address
8. Mailing Address
10. City
11. State
12. Zip
14. Phone Number
15. Test
    posting
17. Requested 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. Include Parcel Number(s) / APN(s), and respective property address(es).
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21. 1. Receive an email copy of this form.
22. Email address

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