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<br />c <br /> <br />City Recorder's Office <br /> <br />PUBLIC RECORDS REQUEST FORM <br /> <br />City of Eugene <br />777 Pearl Street, Room 105 <br />Eugene, Oregon 97401-2793 <br />(541) 682-5042 <br />(541) 682-5414 FAX <br />(541) 682-5045 TTY <br /> <br />~~ <br /> <br />~UJq <br /> <br />'hTJ/00 <br /> <br />/ / <br /> <br />~N c4~uo I <br /> <br />Address: <br /> <br />Name: ~ \ \,/L \( t/1G D ~ <br /> <br />~'\[. Ll "., ~\ <br /> <br />Telephone/Fax: 'SV\") t\--(7 <0 1>\;1 ~- ~ tv 'Z..- <br />/ <br /> <br />Date Requested: <br /> <br />. \)' \..l ~L17O ~ e LAv DV\ ~ ~ <br />E-mail: <br />~6''\/.~ <br /> <br />Will this information be used for commercial purposes? YES 0 <br /> <br />NO lS}i <br /> <br />Have you contacted any other City of Eugene employee about this request? If yes, <br /> <br />name of employee contacted <br /> <br />Records/Documents Being Requested (Z.EQvt E$ \ '\"O\N.s(0- L ~ (LfJ""~ <br />G--4~'NW1l-/~ C\ 'V\ (, Lb OrJ LI ~ ~ fZ..r ~z, <br />, <br />~'-~ 'V\I\ e\l1Vfhd\~~ ~\) U:- L\ \r L <br />/ <br /> <br />Please attach any additional background information that will help <br />City staff to locate the records requested <br /> <br />Please see reverse side for important information about the City of Eugene's <br />Public Records Request Policies and Procedures <br /> <br />......UI.IU........U.,UIl....'U'UI..........II........II........................Un1..nl......................................u..............ullAlO..n..a..-....--.__...........""1.vn"'1~ <br /> <br />For Staff Use <br /> <br />Information provided via <br />D Telephone <br /> <br />D E-mail <br /> <br />D Letter <br /> <br />o <br /> <br />REQUEST COMPLETED by <br /> <br />on <br />