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1111 Rhoton Ct 01030201/04/02 10:36 FAX ®002/003 01/04%2002 00:54 368- 458 -4348 CITY ff Y m PAGE 02/02 s� CITY OF YELM AN oPnciALLMEDWY PO Box 478 Yelm WA 88697 "y- °L�` (380)458 -3244 �- CITIZEN ACTION REQUEST C'wyFNer1FORMe4w.LP40tlOm�q,M P,. 1 ell PP :GT Z00Z /E0 /T0 : 3WI1 1NOd3J NOI1VOIdIGA NDISSIWSNVdl NOTE: Information provided on this request form Is subject to public disclosure, and Is available to individuals upon request. if you wish to remain anonymous, the City of Yelm reserves the right to not follow -up on the request. NAME: PHONE: Herne su.1mas ADDRESSc MAILING ADDRESS (N dlnerenl than sewn): DATE:, TIME: 0020 SITUATION DESCRIPTION: f'mrN LCLt _C) Ucr AD -iwfr AolFf71y -L. 4;> r . h 4 c Ah afA & , 4.1c1 .r � ' / i frz 0. a_ e t ALF, r. .0 . k�r. _J_tl4r CO>Zr•_rC�_�� f r ,m- r`�-� = �;,.jElu¢� ` g -r W33 OtNUNV15 - 3QOW TB (S)39Vd go NOIl"la LBSCCSL 60:91 E0 /TB 3WI1`31V0 ci. Or C'wyFNer1FORMe4w.LP40tlOm�q,M P,. 1 ell PP :GT Z00Z /E0 /T0 : 3WI1 1NOd3J NOI1VOIdIGA NDISSIWSNVdl 1 01/04/02 10:38 FAX Idl Ut13 /007 01/04,j2002 00:56 380 -458 -4348 CITY OF YELM PAGE 01/01 to: Response/Infomation Given: Suggested Action to be Taken: Complalnt and sugge6[ed action to Dept. Head Actionassignedto: rm/y,/)4 ( Sd7�1 Action to be Initiated by / / Action taken if other then above: Satisfactorily resolved/Completed on: By: WD3 cbiva iS 300W >40 pnS38 0 (S) 39Vd 19:z0:00 NOI1tl2710 0£18650 34VN /'ON X13 69:91 EO /10 3WI1'3iva C:YNYFIIV VNORM61cI11unvpYOnrea . wOU Peae 1 e�] TWLT Z00Z /60/10 : 3WI1 180d3a NOIIVDIJRM NOISSIWSNVitl x/04/02 10:35 FAX L "7 4-17 Y Du,z a� C 7S- y u� .)d N1 h/d gPx,�- nv i" Q001/003 P'C`,F,TVED JUL I '2002 9 CITY OF YELM OFFICIAL USE ONLY PO BOX 479 Date ReceNed Yelm WA 98597 sy (360) 458 -3244 CITIZEN ACTION REQUEST NOTE: Information provided on this request form Is subject to public disclosure, and is available to individuals upon request. If you wish to remain anonymous, the City of Yelm reserves the right to not follow -up on the request. NAME: 14 4/LL7 0 tc 2 PHONE: L ° Home Business ADDRESS: l 110 /2 MAILING ADDRESS (if different than above): DATE: 11 J a �� 1 y TIME: / /00 112S SITUATION DESCRIPTION:/ C /c / T �7 1c dYf 5 Dour oh L; �r _7 /�cuj SLrr At T C<, 967. c7�cr 6:A'eV if 1[C %Zsti[/J�L_ cT S/lU WlL( �/Ui P L /TZyC /-a Cr, a �4iiri d•c�C1 /!A r'S�l_ ©a'C('BWtrn,<UCP 'ir+UT �Yri17 <cr raS P cD %' ��hcs,x s 9 2aY1 rhs Llfse 1/✓ OU.r /L✓«it, di LL o!✓ C- 17� ��.lS'GYt L CITY OF YELM POLICY NO. 91 -01 C,\ MyFiles \FORMS\dfizen&Conreq.wDa Page 1 of YELM s....cra. FAX TRANSMISSION CrFV OF YELM PO 80% 479 - 105 YELM AV[ w YELM WA 98597 3 45e�Z44 F": 3e0- 456 <34e To: Fax #: snb;ect(i�� J 1 1.1 Date: /`V— Q.2 Pages: 3 , including this cover sheet. If you do not receive all espies or any copy is not legible, please call (360) 458 -3244 as soon as possible- av< i 1 L CITY OF YELM PO Box 479 Yelm WA 98597 (360) 458 -3244 CITIZEN ACTION REQUEST OFrIC1AL USE ONLY note EY NOTE: Information provided on this request form Is subject to public disclosure, and Is available to individuals upon request. If you wish to remain anonymous, the City of Yelm reserves the right to not follow -up on the request. NAME: PHONE:_ Mome Business ADDRESS: MAILING ADDRESS (NtlMfersnl Men above): // ), -1 C7, DATE: TA/-j 00-1 TIME: O�!OD SITUATION DESCRIPTION: 'Tivd'/i C.LCC k nL,e r t/ . r;/1 s it a�#�T 02fN _f Y; Ms - 7- �L� . . 'Aefr P 4 l< r I—A ALE r o 4(t: L /a 'I-A- Mn r # T f�l P° 4l 1,,,1 it fBix i' W JZ go .i-v/eY CO- /] Y "'L 6"J' iEf eeN A, A 4 f S<" 11 Die"" %a,� b s CITYp YELM POLICY NO. 91 -01 C:N1yF4�s1FORM3Ntlzanactlonrp wntl papa t M 2 For City of yalm Official Use Only Routed to: On; 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: CRY OF YELM POLICY NO. 91 -01 CWYFMSWORMS1c9�.WN