HomeMy WebLinkAboutBringing in Mobile Home without Permit - BLD Letters / Memos - 5/25/2001 J
INVESTIGATION REPORT FORM a
Revised 10/6/94 n
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Part A: Nature of Complaint
• Initiator's Name:
• Address:
• Telephone: .lh@M�ffm
• Owner Name: / l
• Address:
• Telephone:
• Department of Concern
❑ Clerical B ing ❑ Health ❑ Comm Development ❑ Fire
• Area of Concern:
❑ Process Delay ❑ Personnel ❑ Policy/Fee 4EXode Violation ❑ Other
Refer to Director
• Location of Concern:
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• Nature of Concern:
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Part B: Concern Intake and Referral
Received By: Refer d To: Response Date:
Name Date Name Date Date
Part C: Findings
Referral Forwarded to: ❑N/A
Name Date
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Pa, : Resolution
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N,(me Date
Intake Copy-White File Copy-Yellow Referral Copy-Pink
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