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2. Description

   Use this form to request information from the health department on a property or food service located within Lenawee County. This information is free to those who own the property or establishment; a fee is assessed for non-owners. This form is NOT to be used for FOIA requests for Environmental Health Assessments.

4. Property Information
   Include the address and tax number (if available) on the property for which you are seeking information
6. Property Address*
8. City*
9. State*
10. Zip Code
12. Tax #
    Include the tax number for the property if you have it
14. Are you the property owner?*

    1. Yes
    2. No
16. Type of Record Requested*

    1. Sewage and/or Well File Records
    2. Food Service Files
    3. All Other File Copies
17. Comments
21. Please provide us with your name and contact information
23. First Name*
24. Last Name*
26. Email Address*
28. Address*
30. City*
31. State*
32. Zip Code*
34. Phone Number*
35. Fax Number
39. Thank you!
    Health Department staff will review your request and contact you with a summary of results and any applicable fees. Questions may be directed to 517-264-5214 or ehdesk@lenawee.mi.us.
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit Submit and Print

* indicates a required field