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PLBLIC RESPO}{SE
iTEM DATE STIBIyIITTED BY
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On 2003, I visited the Caldwell Community
Signature
Development Department and examined the case flle for Case No'
3.tB - 1SF- O ,). I requested copies of the following documents
taken from the file:
I understand that this request to examine files will be made a part of
the permanent file regarding this case.
l\Sr,ScrsC'0i\
"\Print Name
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REQUEST TO EXAMINE FILES