416 McKenzie Ave SW Gay 416 McKenzieIny. occ
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CITIZEN ACTION REQUEST
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DATE: l 2-1777s
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105 Yelm Avenue Weal (360) 458.3244
PO Box 479 (360) 458-4348 FAX
Yelm, WA 98597 www.ciyelm.rua.us
For City of Yelm Official Use OW .
Routed to. On:��
Response /Information 9 iven:
Suggested Action to be Taken:
Complaint and suggested action to Dept.
Action assigned to:
Action to be initiated by
Action taken if other than above:
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Satisfactorily resolved /Completed on:
By:
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105 Yelm Avenue Weal (860) 458 -3244
PO Box 479 (360) 458 -4348 FAX
Yelm, WA 98597 wwtv,e1.ye1m.wa.ue