810 Yelm Ave W Whitman CAi
JAN 2 y CITY OF YELM, OFFI�,I�fLf�OSE ONLY PO Box 479 _O•f• Re 1U d / -a Yelm WA 98597 eY YELM (360) 458 -3244 COMPLAINT RECEIVED FORM
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Home Business
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MAILING ADDRESS (if different than above):
DATE: TIME:
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11 Response/Information
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:
CITY OF YELM POLICY NO. 91 -01
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