1986, 03-18 Investigation, No PermitINVESTIGATION WORKSHEET
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Address �. 44-- 5�/ & 72cf
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parcel No. /2a y1'/- 0 / 3O Zone
Occupants J G �������� Phone
Address 72
Nature of Investigation d�,BuiIding ❑ Fire ❑ Code Compliance
Describe
Status Resolved/Date m ❑ Dead/Date
❑ Prosecutor/Date
Date
Comments
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Investigator:
Recheck Date
NOTES:
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APPLICAT
SIGNATURE OF � /apt �,-! DATE
OWNER OR AGENT
MOBILE HOME PERMIT
MOBILE HOMES
Mae
Number 1 Width 08 Length.45
.Misc.Desc : SURCHARGE
Serial #
Height 10
TOTAL FEEFee
Misc Fee
$51
50.00
1,50
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