HomeMy WebLinkAboutMoved Trailer in Unpermitted - BLD Letters / Memos - 9/12/1996 INVESTIGATION REPORT FORM " / u� n a
Revised 10/6/94
Part A: Nature of Complaint J1
• Initiator's Name:
• Address:
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• Telephone: 1001MI t
• Owner Name: I V 0)
• Address:
• Telephone:
• Department of Concern
❑ Clerical Building ❑ Health ❑ Comm Development ❑ Fire
• Area of Concern:
❑ Process Delay ❑ Personnel ❑ Policy/Fee ❑ Code Violation ❑ Other
L Refer to Director
• Location of Concern:
Al
M
• Nature of Concern: Cn rr Y? �j_V1 PAC*i^^
Part B: Concern Intake and Referral
lei
Received By: Referred To: Response Date:
Name Date Name Date Date G)
Part C: Findings f
Referral Forwarded to: L rr-_ e,j s. �" "�1G ❑N/A
Name Date,
Findings: �� C� !r�+• i e f r?r~ �r-� cam. f e r+yJcc,l✓ C
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Part D: Resolution
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i
ame Date (�/)
intake Copy-White File Copy-Yellow Referral Copy-Pink