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2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip*
11. Phone*
12. Date of Request*
14. Email*
16. Description of Records Requested (Please state your request as specifically as possible.)*
18. Fees
    The Town's research and retrieval fee is $33.58 per hour commencing after the first hour of work. Fees for copies, printouts and photographs are in accordance with C.R.S § 24-72-205, pursuant to which the fee for a copy of a standard page is .25 cents per page and the actual cost or providing a copy in a format other than a standard page.
20. Select the method you desire for inspection of the responsive records:

    1. Inspection at Town Hall. To schedule an inspection please contact the Town Clerk.
    2. By USPS mail (requester will be charged the actual cost for all mailing supplies and postage
    3. Electronic transmission (requester will not be charged for the transmission of electronic records, however there may be costs incurred in the reproduction of records).
22. The Town recommends that prior to submittal of this form Requestor review the Town's Public Records Administrative Rules.
24. Check Here*

    1. I agree my electronic submission of this form constitutes my signature affirming the above information is true and correct.
26. Signature*
27. Date*
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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit Submit and Print

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