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11-00400113- 00077083 Print Form (Arir14111 FOR OFFICE USE ( ---BU IN R fLDG PLANNING SUBMITTED: I0• 12•/1 R ECEIVED BY: CITY OF COLLEGE STATION PLANNING & DEVELOPMENT SERVICES Pim:rungti Development Services 1101 TEXAS AVENUE - COLLEGE STATION, TX 77840 (979) 764 -3570; (979) 764 -3496 FAX www.cstx.gov REQUEST FOR PUBLIC INFORMATION INFORMATION REQUESTED BUILDING PLANS PLANNING CASE FILE DRAINAGE REPORT SITE PLAN MINUTES OTHER (BE SPECIFIC) DETAILED REQUEST (PLEASE BE AS SPECIFIC AS POSSIBLE.) YEAR BUILT /DATE OF MEETING: Ar��, A ral A DDRESS : (0 P � -,, j o n LOT # BLOCK # r. i•. ,` i� f. er • 4e5 nrie ./ CC1 / /e ` -t-a. a'er #te n • - � �O / � REQ STOR INFORMATION NAME: ;' _n1A©J� / /• t/ ADDRESS • ��U' � �5 pve . e_o G o a_110G� / .a' - `2 gw) PHONE #: 6779 1 _ 1. / �FX # l6 x/'81 / % r `7� - 26 � 5 S� ) EMAIL ADDRESS : i LA r ) / j ► / 1 /) r r , isr) In making this request, I understand that the City is under no obligation to create a document to satisfy my request or to comply with a standing request for information. I further understand that the information will be released only in accordance with the / ublic nformation Act, Government Code, Chapter 552, which may require a d rmination as to they' iality by the Texas Attorney General prior to a release. I further under d tha h4 City Colle• - Station has 10 working days from the date of request in which to s it such determi :tion. ° REQUESTOR'S: ,• TURE / 2 DATE OF REQUEST Official use only DATE COMPLETED: COMPLETED BY: NO. OF ORIGINAL PAGES: COST: $