HomeMy WebLinkAboutClearing with No Permit - GRD Letters / Memos - 4/4/2008 INVESTIGATION REPORT FORM
Revised 11/14/06
Case Number: )(�(-Zoog — o Parcel#
Violation Site Address:
Property Owner(s): " ahn 410-pwr t L- _ Telephone:
Mailing Address: O w i �
Occupant of Site or Operator:
Complainant Name: Telephone:
Complainant Address:
Location of Concern/Directions to Site:
.�_.
Nature of Concern: CJ� ? W+ Ace
Department of Concern: LJBuilding ❑EH Septic ❑EH Solid ❑Planning ❑Fire ❑Public Works
(For Official Use Only Beyond This Point)
Received By: Date:
Referred To: Date:
Investigation Date and Findings:
Resolution: ='Y.L�
i
Name: Date: