NO PERMIT NUMBER 1047 November
INVESTIGATION RECORD
Location I File NoA
Q'
OWNER'S Name ( W
Address Phone l- ' '" M
Other Responsible Party
s
Address Phone
Type of Investigation-
Remarks
nvestigation Remarks
t Disposition
7e�o,�•� 3-S-Jts
Date Received � � b 6 9 .Date Closed �� r
r 8045 3M I/64 y 0 N b
1F���1 November HofrichtPr