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01/13/14 Certified Ownership List Request FormT s Flathead County GIS 800 South Main Street Kalispell, MT 59901 ' Phone (406) 758-5540 Fax (406) 758-2139 Certified Ownership List Request Form Must be filled out by the Planning Office, Surveyor, or Engineer SUBJECT PROPERTY OWNER See Attached Resolution 5565 SUBJECT PROPERTY ASSESSOR # SUBJECT PROPERTY LEGAL DESCRIPTION SEC -TOWNSHIP -RANGE BUFFER FOOTAGE N/A CONTACT PERSON Rick Wills, Kalispell Finance Director CONTACT PHONE # (406) 758-7950 TODAY'S DATE January 13, 2014 SPECIAL HANDLING INSTRUCTIONS Please Bill City of Kalispell Attn: Rick Wills PO Box 1997 Kalispell, MT 59903 PLANNER, SURVEYOR OR ENGINEER SIGNATURE Orders can be submitted in the GIS office, via mail or email (gis_ownership@flathead.mt.gov). Incomplete forms will not be accepted. Certified Ownership List — completed within 1 week from receipt of payment $75.00 Certified Ownership List Rush — completed within 24 to 48 hours from receipt of payment $150.00