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2. Village of Odessa

   1928 County Road 15
   Odessa, NY 14869
   Phone: (607) 594-2100

4. Today's Date*
   Today's Date
6. I do hereby apply to the option below, if available, of the following record(s):

   1. Inspect
   2. Obtain

   1. Electronic Format
   2. Paper Format
8. Please be explicit and detailed in your request, and write clearly:*
10. Phone Number (Optional)
12. First / Last Name*
13. Reply Email*
15. Address1*
17. Address2
19. City*
20. State*
21. Zip*

23. *There is no charge for the inspection of documents, however, if duplication is requested, a charge of $.25 per page (up to 9”x14”) or the actual cost to reproduce other records plus postage will be assessed. If documents can be sent electronically, there may not be charges incurred. 

    Use of this form is for convenience only, it is not mandatory. 

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

    This field is not part of the form submission.

27. Submit

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