GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES 
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D E PARTM ENT OF PLANNING AND NATURAL RESOURCES 
Division of Coastal Zone Management 
4611 Tutu Park Mall 
Suite# 300 Second Floor
St. Thomas, Virgin Islands 00802 
Telephone (340) 774-3320 
No. 45 Estate Mars Hill, Frederiksted 
St. Croix, Virgin Islands 00840-4477 
Telephone: (340) 773-1082 
Website: dpnr.vi.gov 
REQUEST FOR PUBLIC INSPECTION OF 
DIVISION OF COASTAL ZONE MANAGEMENT RECORDS 
I, ____________ , employed by _____________ _ 
Request permission to inspect the Division of Coastal Zone Management's record file for: 
(Please specify permits, reports, inspections, surveys, or enforcement actions, etc.) 
on _______________________________ _ 
(Name of company, applicant, or respondent/property location.) 
The purpose of the inspection is as follows: _______________ _ 
I understand that thirty (30) days prior notice is required, and this request is only good for the 
date issued during the hours of 8:00 am and 4:00 pm. 
Applicant's Signature 
Date 
Mailing Address and Telephone 
For Division Use Only 
Comments 
Approved: YES 
NO 
Date 
Marlon Hibbert, Director 
Division of Coastal Zone Management 
SIGN