HomeMy WebLinkAboutGrubbed and Cleared Site - GRD Letters / Memos - 8/28/2007 INVESTIGATION REPORT FORM case Number: EtjF �o
op ( 257
Nature of Complaint:
❑ Reporting Person V / Telephone
-v
❑ Address
c�
z
c
3
/ I� 5 -
❑ Owners Name: ���� W .'�a.�w►cY► l E?.�ti'tC.L Telephone: ��5
❑ Mailing Address:TnAny- 2� si ( o.f PLIt- JjAj
❑ Occupant's Name•
i
❑ Occupant Mailing bddress:
Ul
i
Department of Concern: ❑Building ❑ EH Septic ❑ EH Solid ❑ Planning Fire ❑Public Works C,
Site/Locationof Concern: �� "7 I
Nature of Concern: u.h In A ni, n Cie n .ry S 1�e v g
C
CQ W= - na S�vtZ m
r
For Official Use Only Be
� Y and This Point)Y
Received By: Date:
Referred To: Date:
a
Investigation Date/Findings:
nv i > ,i p,vlA/6�
p v
Resolution: _ n � n �� �( �/�c;� � I1 n �2,C
Name: _.� Date: