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P.O. Box 1520 Eagle, ID 83616 Clerk's Office: 939-6813 – fax: 939-6827 Planning Dept.: 939-0227 – fax: 938-3854 Building Dept.: 489-8760 – fax: 489-8767 E-MAIL: [EMAIL REDACTED] CITY OF EAGLE PUBLIC RECORDS INFORMATION REQUEST FORM Name: Address: Telephone : Fax Number (optional): E-Mail address: Date of Request: INFORMATION REQUESTED (PLEASE BE SPECIFIC): Under penalty of perjury, I hereby certify that I will not be using, nor will I allow to be used in any form or manner, the records, documents, or lists (hereinafter “Data”) obtained from the City of Eagle as a mailing or telephone number list for any purpose, including soliciting, market research, etc., in accordance with Idaho Code §74-102(b). SIGNATURE City Employee Processing Request: Date Completed: Fees Collected & Receipt • I.C. 74-103(1) - If more than three working days are needed to process this request, the requestor shall be notified, with the documents or response following within ten (10) days. • Fees may be associated with the processing of this request, per Resolution 11-16. • If request is submitted via e-mail, please call within 24 hours to confirm receipt. SIGN