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FREEDOM OF INFORMATION LAW REQUEST My name is Company/Affiliation (if requesting for an organization) Address (Street Address) (City/Town/Village) (State) (Zip Code) Phone Number Fax Number E-mail Address Under the Freedom of Information Law, I hereby request: 1. Describe type of record (be specific) Tax Map # (if known) Owner of property (if known) Address of property (if known) 2. Approximate date record was created 3. Who made the record (if known)? Date (Signature) Cayuga County Health Department 8 Dill St. Auburn, NY 13021 (315)253-1405 (315)253-1478 Fax [EMAIL REDACTED]