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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*
    Please describe the public records you wish to recieve. In order to expediate the search for the records, please be as specific as possible.
20. Department*

    1. Chief of Police
    2. Building and Zoning Official
    3. Director Public Works
    4. City Clerk

    1. Fire Chief
    2. Administration
    3. City Attorney
    4. Mayor/Councilmember
22. Signature of person making the request
    The City will respond to this request within ten (10) working days upon receipt of request.
24. The fee amount for your request will be e-mailed to you once we process your request. The fee will be in accordance with our fee schedule and City Policy.
26. 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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28. 1. Receive an email copy of this form.
29. Email address

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