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2. Name of Requester*
4. Firm or Company Name
6. Street Address
7. City
9. State
10. Zip Code
12. Phone Number*
13. Email Address*
15. Description of Materials Sought*
17. Number of Copies
19. Additional Information

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21. Which Department is the Request for?*

    1. Administration
    2. Assessors
    3. Building
    4. Conservation
    5. Finance
    6. Fire
    7. Health
    8. Planning
    9. Police
    10. Public Works
    11. Schools
    12. Town Clerk
    13. Treasurer / Collector
    14. Water District
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