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FOIA Request Form Requestor information

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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