Laserfiche WebLink
CITY OF ANACORTES <br /> REQUEST FOR PUBLIC RECORDS <br /> Please Print Clearly <br /> Requester Name: e ��(i --- 4U+5C_( <br /> Address: 2 31 `t 169 4'2 St.. <br /> Phone Number: G Cl ` O c St <br /> Request Made By: ['rIn Person []In Writing [] Telephone <br /> Date of Request: S " c1 y <br /> Nature of Request: <br /> 617k �'� �� pia <br /> i 7- <br /> Is information requested to be used for commercial purposes? <br /> Note: Use of intellectual propel-Wang onzed by approval of this request. <br /> Signature o Requester <br /> FOR OFFICIAL USE ONLY <br /> ACTION ON REQUEST FOR PUBLIC RECORDS MUST BE TAKEN WITHIN FIVE <br /> (5)BUSINESS DAYS (SEE R.C.W.42.17.320) <br /> 1. Action taken: <br /> []Request Granted <br /> [] Acknowledgement <br /> Estimated Response Date Provided (See No. 4) <br /> [] Record Denied (See Nos. 5 &6) <br /> [] Record Withheld in Part (See Nos. 5 &6) <br /> 2. Request forwarded to attorney for review: [] Yes Date Forwarded [] No <br />