FOIA Request Form Requestor information

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foia Request form Requestor information : Date of Request : __________________________ Name: ________________________________________ ______________________________ Mailing Address: ________________________________________ ______________________ City, State, Zip: ________________________________________ _______________________ Phone Number: ___________________________ Fax Number: ________________________ Email Address: ________________________________________ _______________________ Preferred delivery method: Pick up Email Fax Mail Property information Building Address (es): ________________________________________ _________________ Parcel Numbers: ________________________________________ ______________________ City, State, Zip: ________________________________________ _______________________ Type of Reports Building Inspection Records SERC Buster Fire Reports Contact information : Email Phone 419-245-1140 Fax 419-245-1076

oleoo ohio toledo fir&rescue department fire prevention bureau one government center, ste. 1710 toledo, oh 43604-2209 www.toledofirerescue.com

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