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2. Name
3. Date
   Date
5. Address
7. City
8. State
9. Zip Code
11. Mailing Address
13. City
14. State
15. Zip Code
17. Phone Number
18. Fax Number
19. Other Contact Number
21. Email Address
25. When submitting your request, please be as specific as possible (i.e., provide dates of reports or actions, resolution and ordinance numbers, tract numbers, etc.) You will be contacted when your request has been filled.
29. List of Records Requested
31. • Copies can be obtained after payment is received or you may view the documents in the office.
    • Please note that many records are exempt from disclosure to citizens, and the City must decide as to whether records are exempt before the City is allowed to show the records to you.The City has 10 days in which to make this determination and notify you.
    • Payment must be in cash, cashier’s check, money order, or credit card before the City can begin reproducing the records. Please make check payable to "City of Wasco", and address envelope to:
      Wasco City Clerk
      746 8TH Street
      Wasco, CA 93280
33. Electronic Signature Agreement
34. Date
    Date
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36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

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