NO PERMIT NUMBER (2) 868 Stelling Rd
INVESTIGATION RECORD
Location to 2 G/V4. File No. L
OWNER'S Name
Address %a � Phone7 n b,-) Q
Other Responsible Party
Address Phgn�
Type of Investigation ^ �
Remarks
Disposition +` -Q
Date Received J 4 6 Date Closed b V
F rm 280.45 3M 11/64 �T� �
-L i
8�8 Stellina RA