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C�� a :' <br /> �.,y����� ,1�LIG�i[SCt.�lat7R16tR�t1�9'1'�1�INFORIILA't'tON <br /> rw��'{��/ � r�x� � . <br /> JO�i W��e Arc. <br /> $.15 per ge jor costs oJ copying (Title 42 R.C.W.) <br /> Requestor's Requestor'� <br /> Printed Name: Signemre: �i <br /> Address: �`�� �'��.��_ p���ne No.: ZSy ��s� <br /> '� B��siness Name: —� <br /> Allow me to: inspect � request a copy of the following records: <br /> �r/o,�.�.�i� � S ��.. . <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 �No <br /> Request was made: � In person _ By phone Fax Mail <br /> Date request received: By (Dept.): Response Due date: <br /> � Allow access. The applicable department has been notified, and <br /> you may accessthe requested records. <br /> Deny access. The Ciry has determined that the records you have <br /> requested are exempt under the law for the <br /> following reasons: <br /> We do not have the record(s). Explanation: <br /> Date Requestor notified: By Mail By Phone In person <br /> I certify that notification of final City response was carried out by me as stated above. <br /> Signature of Notifying Employee: <br /> No. of copies Certified _ Treas. Receipt a GL-002 341 61 00000 <br /> Copy 1 - Cferk's O,fj�rce Copy 2 -Approprinte Dept. Copy 3 - Requesror <br />