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ITEM DATE SUBMITTED BY>� t ;� � A_
REQUEST TO EXAMINE FILES
On / - 2004, I visited the Caldwell Community
Development Department and examined the case file for Case No.
SOk - `-c 9g I requested copies of the following documents
taken from the file:
(y\,(\„Accs )
Ca V) --?e_AcThiN( A lCCaQ
. e. '� ,
I understand that this request to examine files will be made a part of
the permanent file regarding this case.
C.
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Print Name Signature
• 44 : & . A. / 1 t 1)-v
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