Warning Note: Requests for public records that include copies of architectural works may be subject to
copyright or “original works of authorship” protection in accordance with United States Code, Title 17,
Chapter 1. Your request for copies and receiving said “works” may result in a violation of this Code which is
subject to Federal prosecution.
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FOR OFFICE USE ONLY
STAFF WILL PERFORM AN ESTIMATE OF COST TO PERFORM ANY PERMIT RESEARCH FOR INFORMATION
THAT IS NOT ACCESSIBLE THROUGH THE CURRENT PERMITTING DATABASE AND CONTACT THE PERSON
LISTED IN THE CONTACT NAME WITH A QUOTE.
RESEARCH WILL NOT CONTINUE UNTIL A DEPOSIT IS RECEIVED BY THIS OFFICE
FEES
Deposit Amount of $
Research Time _________ hours @ $ rate
$
Photo Copies _________ @ $.15 each
$
Date Received:
Vendor Reproduction : Vendor Cost
$
DVD / CD Cost
$
Received by:
Certification
$
Postage
$
Request originated from (Dept):
Other
$
TOTAL DUE
$
Revised May, 2012