1992, 07-24 Investigation WorksheetINVESTIGATION WORKSHEET
DATE
ADDRESS
fe. )//: J'C/W
PARCEL NO. / � - Z/j c;
OCCUPANT -27i-e �/� �7/>> e
ADDRESS
NATURE OF INVESTIGATION
FILE # qe 1
ZONE PHONE fn L/ 56
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❑ BUILDING
DESCRIBE a j/�/r
Lt
STATUS
RESOLVED/DATE
❑ FIRE
0 CODE COMPLIANCE
DEAD/DATE
PROSECUTOR DATE AFFIDAVIT
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Investigator:
Recheck Date:
/Co ,./),t4., L c%
From The Desk Of
9-7
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AS-20 - /2 ce
67 ro-ory,
g_f
44 630.4 oz, rc-t;
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BUILDING & SAFETY
REQUEST FOR INVESTIGATION
Location:
Owner/Occupant:
Requested By: -'U Date: 1 k.,4a-?
Investigation By: Date:
Nature of Investigation:
rJ: Po2)cca2 R rssa p Cnl
Findings:
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f 1‹
4 6- c c.�C CV/ace
i•oze,-)
,411.06
t
e ye-n*7P / (L �, 1 % Post -it -routing request pad 7664
C41(irC BRAND
OUTING - REQUEST
Please
READ
ANDLE
APPROVE
(I
and
Date
FORWARD
RETURN
3 l ! S`}'1-)3 i del
To '�
KEEP OR DISCARD
REVIEW WITH ME t
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