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2. Disclaimer:
   Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address release in response to a public record request, do not send electronic mail to the Town of Bay Harbor Islands. Instead, you can contact the Office of the Town Clerk by phone, 305-866-6241 or in person at 9665 Bay Harbor Terrace, Bay Harbor Islands, FL 33154
4. First Name
5. Last Name
7. Address 1
9. Address 2
11. City
12. State
13. Zip
15. Phone Number
16. Email Address*
18. Is this a commercial request?

    1. Yes

    1. No
20. Records You Are Requesting*
    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible. Include a time frame on your request (i.e. Jan 1, 2016 thru Present).
22. Department

    1. Police
    2. Building
    3. Public Works
    4. Clerk

    1. Code Compliance
    2. Administration
    3. Finance
    4. Other
Leave This Blank:


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

    This field is not part of the form submission.

26. Submit Submit and Print

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