Public Information Request Public Information Request Date of Request* MM slash DD slash YYYY Applicant Name* First Last Applicant Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Description of Requested Public Document*Form of Response:* Inspection of Documents Only Copies of Documents (Requires prepayment of copying cost - .25 per page, unless separate departmental fee schedule applies. No fee will be assessed if totaling $1.00 or less) Method of Delivery* Pick up ( You will be notified by telephone or E-mail when documents are available.) Mail to address indicated above (Requires prepayment of postage costs) The City of Salisbury will produce the requested documents within thirty (30) days if the documents are available. If your request is denied, you will be notified within ten (10) days. If the request requires more then two (2) hours to research and compile, you maybe be charged for the employee's time after the first two hours. You will be notified of the estimated cost and, if the scope of work is extensive, a __ % deposit may be required. Applicants Electronic Signature* First Last You may mail this completed form back to : City of Salisbury Housing and Community Development Department 207 W. Main St. Suite 102 Salisbury, MD. 21801 Or just submit this form electronically.
