1117 Queensview Ct NW 112200P: V 2 3 2000
� o CITY OF YELM
�$ PO Box 479
Yelm WA 98597
rY!ELIM
a, (360) 458 -3244
COMPLAINT RECEIVED FORM
COMPLAINANT (name):--j02-/C/-jy
.'�
�1a11iLE:—A — dTY
Home Business
ADDRESS: 7
59 7
MAILING .,
ADDRESS
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mss. . ,,...;�- �'�.rs��_�is���►�',
For City of Ye/m OfBc/al Use Only:
Response /Information Given:
Suggested Action to be Taken:
Complaint and sugge acbQn to Dept. Head / /
Action assigned to: Iza /,"Arn
Action to be initiated by
Action taken if other than above:
Satisfactorily resolved /Completed on:
By:
CITY OF YEW POLICY NO. 81 -01
C:WyFIb.1FORMSAcomphinLwpd
l9{i
0
0
JAN 1 1 2001
CITY OF Y Ludt OFFIO`C•r IAL'�USE; O�NL�Y���
PO Box 479 D.0 N• W-/- �
Yelm WA 98597
(360) 458 -3244
COMPLAINT RECEIVED FORM
SOW 1 $:Jff Wr I A
PHONE: i Wcl
J-4 14 E7
Home
Business
,�
G�
DATE:
NIN
For City of Yelm Official Use Only:
Response /Information Given:
Suggested Action to be Taken:
Complaint and suggested action to Dept. Head
Action assigned to:
Action to be initiated by
Action taken if other than above:
Satisfactorily resolved /Completed on:
By:
CITY OF YEW POLICY NO. 91 -01
C:WyFile*TORMS%compI &inl.wpd
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