HomeMy WebLinkAboutRoofing - BLD Letters / Memos - 2/2/1998 VESTIGATION REPORT F( 4 U)
Revised 10/6/94 n
980061
Part A: Nature of Complaint
• Initiator's Name:
• Address:
N
• Telephone:
• Owner Name:
• Address: ILL � j ^
• Telephone:
• Department of Concern
❑ Clerical ❑ Building �-ealth ❑ Comm Development ❑ Fire
• Area of Concern:
❑ Process Delay ❑ Personnel ❑ Policy/Fee Code Violation ❑ Other �r
Refer to Director 4.
• Locatio of Concern:
b ct
N
• Nature of Concern: b'!+ 0-
l
Part B: Concern Intake and Referral LIN
Y.eceived By: I efer ed To: Response Date:
Name Date Name v � ate- Date -�
Part C:Findings
Referral Forwarded to: ❑N/A
p Name Date
Findings: 3I11 a ' ;j6jdP. Q�WA4-1 /71CaeXl1 q �A, 7_ ow-e— �
WUU_U444 . Ab C- l_A-nd✓� ��1i-lis r Gi� Q��D ice/�!'.qt L.M3��
Pigtlj aM- GlAAM-0..S
vi %4 4 2®wi 1) Oat W r A
Part D: Resolution
Name Date
Intake Copy-White File Copy-Yellow Referral Copy-Pink