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<br /> D--T-15-2010 12:23 FRCM:STEWARTS SEPTIC SEEN 707- 771 7522 T0:70.37715023 P.111 <br /> 76 -74J 77/ - !5aZ-E <br /> <br /> REQUEST FOR FILE INFORMATION <br /> <br /> ~Q~~L..~~N'~' I?$pA i~TM~N7' OF HEAL'1~1 <br /> <br /> Date of request: <br /> <br /> Property Owner(s) <br /> <br /> L4gZ& A Wx number. <br /> i . 0 J Pia nurnbv (propertyr <br /> Tax Map Number Wendfifttim number), ar <br /> C moat bs pmvWcd in <br /> T j <br /> Pin Number ~ ~ order to prxaeo the requrst <br /> Info Requested By: <br /> Telephone & or Fex: 777- 77 / '1-9- ' 7Q,~ 77/ 7'~'~ ~ <br /> <br /> Type of Info Needed: <br /> 7~..SGl1l~ <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 8.6$8 888588888888$$8888888888,~$$$$S$8885888888888~8$888888S8B88$ 88R <br /> <br /> FOR!QM USE O&Y <br /> <br /> Number of copies x..25 - y . <br /> <br /> Sttift' Time Expended x $50.00/hr <br /> Computer Resc=h <br /> <br /> Computer Mapping x $5.00/each <br /> <br /> Total Cast - <br /> <br /> <br /> Make aj4ccks payable to: The Co ty of ioudoun <br /> <br /> Staff comments., <br /> <br /> <br /> <br /> <br /> <br /> <br />