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Pho�e: <br />,R. IS per page jor costs of copying (Title 42 R. C. W. I <br />Requestor's �- , Reqeestor'� <br />Print�d Name: �I w'� L. 1 N�Sf��t Signamre: _ <br />l�t: : <br />3063VYiYe�ore Ave. <br />Address: I y a p� - ST �{ A�� S E Phone No.: �� <br />Business Name:QAe� P�� i o, <br />Allow me ro: � inspect %� request a copy of the following records: <br />�.. _ � .h ,n_ _.!1 r'/, 4`9n � _ T-� ,,.�., a.�.. l, <br />If record(s) concern individual(s) other than requestor. Please state. <br />Is/are the requested record(s) to be used for a commercial purpose? �Yes _Iv;� <br />Request was made: � In person <br />Date request received: •� By (Dept.) <br />By phone _ Fax _ Mail <br />Response Due date: <br />Allow access. The applicable department has been nutified, and <br />r�j�{� you may access the requested records. <br />� <br />\ O� Deny access. The City has determined that the records you have <br />��� OJ �(� requested are exempt under the law for the <br />� � O following reasons: <br />\✓ �i � <br />� We do not have the record(s). Explanatiori: <br />Date Requestor notified: Q� CO�YIT'� By Mail __ By Phone In person _ <br />� <br />I certify that notification of finaJ,City response was carried out by me as stated above. <br />Signature of Notifying Emplo,yee: •�_��' <br />CJ <br />No. of copies <br />Certified Treas. Receipt /t <br />GL-002 341 61 00000 <br />Copy 1- Clerk's Office Copy 2- Appropriate Dept. Copy 3- Requestor <br />