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HomeMy WebLinkAboutHouse is a Shed which is Falling Down. Shed Built in River, Kids Drinking River Water - BLD Letters / Memos - 6/1/1995 INVESTIGATION REPORT FORM ��� � ��Z z Revised 10/6/94 Part A: Nature of Complaint • Initiator's Name: • Address: • Telephone: • Owner Name: ` !L V t i i)zr- • Address: • Telephone: ` • Department of Concern �,� ❑ Clerical hJ Building Qkealth ❑ Comm Development ❑ Fire t • Area of Concern: ❑ Process Delay ❑ Personnel ❑ Policy/Fee ode Violation ❑ Other Refer to Director • Location of Concern: V^ , , • Nature of Concern: ,_\ t WO L%_ cu-A- y Part B: Concern Intake and Referral Rei ed By: eferred T Respons4 Date: Ile Name Date Nam e Date Date3 Part C: Findings Referral Forwarded to: ❑ /A Name Date Find gs: G2b' G[. Lh 'Ui�1 S Part D: esolution// x, Name ,' Date Intake Copy-White File Copy-Yellow Referral Copy-Pink i . J r Dennis Bogue Complaint Area of Complaint NE Tahuya, Tahuya River Road. Best way to go is from Belfair Tahuya Road. Turn left on Tahuya River Road, just past NE 1771 (small R.V. Park with a flag pole in the center) is a small driveway (left side) which is mostly grass. Just at he entrance is a tree with Vedders, and Burkhart names posted on it. The grass driveway will come to a "Y" keep right. You may want to park there a walk. Small cabin at end with blue tarp covering roof. � oove)o e g U P 1'1 e7 n Lo C' edre 0rL n E ►8 r I lail U a, AUVL �d 10 68 RANGE 3 TOWNSHIP 22 SCALE 1" = 40 -J TANUYA R/VER ROAD G i2100060 --�� 2�00010 2100010 2100020 2100050 2100030 nE �77I 2100031 VXA4tA 2100040 183I 2100070 Upl� )t2I000ao nE 87 � ? 1 2100090 t I 2100100 1 1 2100110 2200000 /I 1 1 2100000 r 230nnnn w '+b/ ~. r i �r 2 A- r PRIV TE PROPER I�l