2. First Name*
3. Last Name*
5. Address 1*
7. Address 2
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Email Address*
16. Is this a commercial request?*

    1. Yes

    1. No
18. Records/Issue*
    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible. If you have a complaint, please be as specific as possible for it to be addressed.
20. Department*

    1. Police
    2. Building
    3. Public Works
    4. Clerk
    5. Planning

    1. Administration
    2. Finance
    3. Code Enforcement
    4. Other
22. Signature of person making the request
    The City will respond to this request within four (4) working days.
24. Do you agree?*

    By clicking "I agree," you agree and acknowledge that 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
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