HomeMy WebLinkAboutRoad without Permit - RAP Letters / Memos - 6/13/1995 Reviud 10/6/94 (7 ,
Part A: Nature of Complaint flnoA
• Initiator's Name:
• Address:
i
• Telephone:
• Owner Name:
• Address:
• Telephone:
• Department of Concern
❑ Clerical Building ❑ I lealth ❑ Conlin Development ❑ Fire
• Area of Concern: }!
❑ Process Delay ❑ Personnel ❑ Policy/Pee ^6 Code violalion ❑ Other
Refer to Director ------------------�
• Location of Con`cernY:r
Ci1.� � [��:y'1' i\L��//1 ,'�, �� U • a ' ��.�l1tl—�::_—��LiJ1.
z
11 OttC)7
• Nature of Concern:
Part B: Concern Intake and Referral
Received By:{� /�S Referred To: /Z Response Date:
Name Late Name
Uato Dale
Part C: Findings
Referral Forwarded to: ❑N/A
Na e
g r Datc..
Findin s:
Part D: Resolution
ame Date
Intake Copy-White Pile Copy-Yellow Referral Copy-Pink