Public Records Request Form

Citizen Participation Plan Request for Neighborhood Contacts

Please note: This application is considered to be public record. Someone will respond to your request in 3-5 business days.

Company Name
Your Name
Address
City	State/Province Zip Code
Phone
E-mail

The following information is needed before a records search can be conducted for your information.

By completing this form, I hereby certify under penalty of perjury that the requested records will not be used for commercial purpose as defined in ARS § 39-121.03

The records will be used for commercial purposes.
If for commercial purposes, please complete the public records request form.

If the record will be used for a commercial purpose, please state the purpose below:

Project Area:

Parcel Number
Exact Address of Project (REQUIRED)
Major Intersection
Brief Project Description

Notification Radius:
1/2 Mile
Mile
Other (please explain)

Contacts Requested (please check all that apply)
Registered Neighborhood Primary/Secondary contacts only
All Registered Neighborhood contacts
HOAs

Please allow 3 business days for response.