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MARYLAND PUBLIC INFORMATION ACT REQUEST FORM Prince Georges (Prince George's County/Office of Information Technology and Communications)

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SECTION A — REQUEST TO THE COORDINATOR OF RECORDS
Please PRINT all information and provide a daytime telephone number.
I request to review and
/or have copies made of the following public record(s) that is possessed and maintained
by the Department of Permitting, Inspections and Enforcement.
Case/Activity Number (If Applicable): Number of Copies Requested:
Property Address:
Information Requested:
PLAN ONLY REQUEST(S) — Complete ONLY if Plans Are Signed and Sealed
(If Applicable)
Architect /Engineer of Record: Number of Copies Requested:
Phone Number:
Address:
SECTION B — APPLICANT INFORMATION
Name: E-Mail:
Company Name
(If Applicable):
Address:
Phone: FAX:
Signature: Date:
Note: According to M.P.I.A. Law, processing may take up to 30 days.
DEPARTMENTAL USE ONLY (Do NOT Write Below This Line)
SECTION C — DISPOSITION OF REQUEST
q
Approved
q
Denied — Reason:
Activity #: Amount $: Cash $: Check #:
You may seek judicial review of this response pursuant to Maryland Public Information Act, Title 4 of the General Provisions
Article.
Signature of Coordinator Date
For questions, call (301) 636
–
2053
MARYLAND PUBLIC INFORMATION ACT
REQUEST FORM
Page 1 of 2
Prince George’s County
Department of Permitting, Inspections
and Enforcement
9400 Peppercorn Place, Suite 500
Largo, Maryland 20774
E-mail: DPIE.mpia@co.pg.md.us
P.G.C. DPIE Form #P&L & B
/
P-004 (Rev. 6
/
18)
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Page 2 of 2
INSTRUCTIONS
MARYLAND PUBLIC INFORMATION ACT (MPIA) REQUESTS
A MPIA request grants the right to review available records that are disclosable and to obtain copies of those
records. It does not require an agency to answer informational questions or to create a record to satisfy a request.
In many instances, an agency will be able to respond to your request immediately. For requests that require
searching for public records, it may take longer to respond to your inquiry. Your request to access public
information will be handled in a timely manner; however, the State of Maryland allows up to 30 days to respond
to your request.
The MPIA allows an agency to charge a “reasonable fee” for copies of records. An agency may also charge
a reasonable fee for searching for a public record. This charge may include the time required for locating and
reviewing the record. The rst two hours of search time are free, but an extensive search may prove time-
consuming and, therefore, expensive.
MPIA Requests Cost
Research for MPIA Requests First 2 Hours Are Free
After First 2 Hours, $62.00
/
Hour
RE-STAMPING LOST PLANS
The customer must complete a MPIA Form. Once the plans have been retrieved from archives, a copy will be
duplicated and re-stamped. Our records are led and stored for a period of 5 years from the date of the nal
inspection or expiration date of the permits.
If you are looking for a copy of the Use and Occupancy Certicate that was issued prior to 1977, please contact
the Enforcement Division at (301) 883
–
6168.
There is a fee for all duplications. The applicant will be notied in advance of the cost before copies are
made. The following fee chart will be used.
Documents to Be Duplicated Cost
Sheets sized 8 ½
x 11 to 8 ½ x 14 .25 Each
Sheets Sized 11
x 17 or Larger $5.00 Each
Use and Occupancy Certicates $5.00 Each
Duplication of Permits $5.00 Each
Inspection History $5.00 Each
Census Reports $5.00 Each
Re-Stamps (Duplicates of Lost Approved Plans) $40.00 Each + $5.00 per Page
Certied Copies $5.00 Each
We thank you in advance for your patience!
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MARYLAND PUBLIC INFORMATION ACT REQUEST FORM Prince Georges (Prince George's CountyOffice of Information Technology and Communications)

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Completed 18 July 2020

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