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San Juan County Health Department
735 S 200 W STE 2, Blanding, UT, 84511
Phone (435) 587-3838
sanjuanpublichealth.org
Environmental Records Search Request
*Completed application and fee of $25.00 must be received before the search will be commenced.
Environmental Records Search Fee:
$25.00
Item Subtotal:
$25.00
Person Requesting
First Name:
Last Name:
Address:
Address:
City:
State/Province:
ZIP/Postal Code:
Phone:
Email:
Please supply the following information:
Address of Property
What information are you looking for?
Who was the original property owner?
*If your request is regarding a septic system you MUST know the original owner. Otherwise, please put N/A. If you have any questions please call Dennis Shumway at 435-587-3838 Ext. 3505.
*If record search requires more than one hour of research or an extensive amount of copies, an additional fee will be assessed.
Total:
$25.00
Payment Information:
Processing Fee Rates:
Cards:
2.5% ($1.50 min)
(1.5% additional service fee for foreign cards)
eCheck:
$0.75
Method of Payment:
Credit/Debit Card
eCheck
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Payment method will be collected on external device
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