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City of Carmel I Clay Township
Department of Community Services
One Civic square; Carmel, IN 46032
Planning &. Zoning Office: ph. (317) 571 ~2417 Fax (317) 571-2426
Building &. Code Enforcement: Ph. (317) 571-2444 fax (317) 571-2499
REQUEST FOR RECORDS PURSUANT TO INDIANA ACCESS TO PUBLIC
RECORDS ACT - (I.C. 5-1~~1, ~ seq., As Amended)..
I, ~ ~ _ hereby request of the Oty of
(NAME dmONAL - pi print)
. Carmel, Indiana, ; e right to inspect and/or copy the following records:
(!'tease be specific as to what rerords you are looking for/requesting, and 6st the (Drrect property IrtormatIon)
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Date of Request: 9/ f} /0 !J' SignabJre: -C C-
. ! / (0P110NAL) U
THE CITY MAY PROVIDE ME WITH ITS RESPONSE: I,.
D By telephone at:
[J By facsimile transmission at:
[J By mail at:
~ Other: W _ (I A..- j .--.' JT:: .
OFFICE USE:
Rcceivedby: GrYl/:e;;;;) Ie </
(Print) - /
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Signature.: ,.Jl.-T. A~~~tf
Sent to Legal Department by:
Received in Legal Department by:
Dept: Doc -S.
Date: 1-;J-O~ Time:.9.' ;0 ~
On:
On:
FIllED WITHOUf NOTIFICATION 10 lEGAL DEPT.~~LN DATE FlLiED: tf -;J ~O f(- Staff !nit. 01--
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