HomeMy WebLinkAbout0025 BAXTER ROAD TOWN OF B
ARNSTABI,S ,
BUILDING DEPARTMENT
COMPLAINT/INQUIRY RtPORT
Date �RecId B
Assessor's No.
Last Name First Name o
ORIGINATOR Street
Villa a State Zi o z
T de hone: Home 177/-ge_5V Work
Description:
_ COMPLAINT �y
Ga
INQUIRY 411 '
Requestor's Signature
COMPLAINT Street Address 6
LOCATION
A= ZI, 7'�z
OFFICE USE ONLY
j �a
INSPECTOR'S Date 9/7 Inspector
ACTION/
COMMENTSn/ i
1,5 a /Ze,
/yl
FOLLOW-UP
ACTION
ADDITIONAL
INFO. ATTACHED
COPY DISTRIBUTION: WHITE — DEPARTMENT FILE YELLOW — INSPECTOR
PINK — INSPECTOR (RETURN TO OFFICE MGR.)
►1scl