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Public Records Request

2. Date*
   Date

4. First Name*

5. Last Name*

7. Address1*

9. Address2

11. City*

12. State*

13. Zip*

15. Email*

16. Phone Number*

18. Please contact the appropriate entity below if you are requesting hazardous material spill/leak response and storage inspection reports, and records pertaining to above-ground or below-ground storage tanks
    - Central Jackson County Fire Protection District at cjcfpd.org or (816) 229-2522 <br/>- Prairie Township Fire Protection District at ptfpd.org or (816) 525-4200 <br/> - Missouri Department of Natural Resources at dnr.mo.gov or (800) 361-4827

    - Central Jackson County Fire Protection District at cjcfpd.org or (816) 229-2522
    - Prairie Township Fire Protection District at ptfpd.org or (816) 525-4200
    - Missouri Department of Natural Resources at dnr.mo.gov or (800) 361-4827

20. Records Description (be specific): Subject Title / Date / Type of Record*

    The Missouri Sunshine Law authorizes public agencies to charge fees for providing access to or furnishing copies of public records. This fee may be requested in advance and may include the cost of staff time required to make the information available as well as the cost of copying or reproducing records.

22. Number of Copies Needed*

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23. 1. Receive an email copy of this form.
24. Email address

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