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2. First Name*
3. Last Name*
5. Address 1
7. Address 2
9. City
10. State
11. Zip
13. Phone Number
14. Email Address*
18. Is this a commercial request?*

    1. Yes

    1. No
20. Records*
    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible.
22. Department*

    1. City Commission
    2. Development Services
    3. Finance
    4. Fire
    5. Human Resources

    1. Municipal Court
    2. Parks & Recreation
    3. Police
    4. Public Works
    5. Utility Billing
24. Signature of person making the request*
    The city will respond to this request within 3 working days.
26. Do you agree?*

    By checking the box for "I agree" below, 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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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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