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Klickitat County Planning Department Request for Public Records Definition: "Public record includes any writing containing information relating to the conduct of government or the performance of any governmental or proprietary function prepared, owned, used, or retained by the any state or local agency regardless of physical form or characteristics." (RCW 42.17.020) Records must be identifiable: 1) The request must be for a public record, and 2) the record must be Identifiable. (RCW 42.17.270) NOTE: Your Name, Phone Number and Mailing Address are requested. Every effort will be made to provide a "public record" while the requestor is in the office. The requestor may have the materials mailed/faxed if it is not convenient to return to the office or if original request was by mail or fax. Occasionally it will take additional time to retrieve a record or obtain approval for the release of certain records. Name of Requestor: Date of Request: Mailing Address: City State Phone: FAX Public Record Requested: Search requested for the period(s) FROM: MO / YR MO / YR Signature of Requestor Copy cost is 15¢ per copy and payable in advance of receipt of copies. Mailed copies will be charged postage fees. FOR OFFICE USE ONLY Date Received: Required Response Date: (5 working days) Service provided by: Date: Records Found: Yes No Copies Made Yes No Quantity: @ $ Release Required: Yes No Released by: Records: Taken by requestor Mailed FAX Pmt by: Cash Check # Amt: