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Public Information Request Form
Please fill out form as accurately as possible. Erroneous information may result in delays processing your request.
* Indicates required question
Name
*
Your answer
Mailing Address
Your answer
Zip Code
Your answer
Home Phone
Your answer
Work Phone
Your answer
E-mail Address
*
Your answer
Reason for Request
Perc Approval Letter
Perc Permits
Septic Final Inspection Certificate
Septic System Location
Well Information
Other:
Other Information/ Notes
Your answer
Property Identification
Not all questions in this section require answers, but please be accurate as not to cause delays processing your request.
Tax ID Number (Account number from Tax Bill)
Your answer
Property Address
Your answer
Subdivision
Your answer
Lot
Your answer
Block
Your answer
Section
Your answer
Map
Your answer
Parcel
Your answer
Your preferred method of receiving records
US Mail
Email
Pickup
Fax
Other
Choose
US Mail
Email
Pickup
Fax
Other
Choose
Other method of receiving records
Your answer
Date
MM
/
DD
/
YYYY
Submit
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