HomeMy WebLinkAboutSANDY BEACH LT 4it � ' - - _ -- �.
NUISANCE COMPLAINT FORM
Complainant's Name: ��—,_,__�`--
Street Address:
270,- n;!n1 (s•%1<.
Phone No..,2=7 _Box No.
Description of Complaint:
Name
Name of Person Against Thom Complaint is Made:
Owner of Property Where Nuisance Exists:
Owner's Address:
Location of Complaint:.;_
Street Address:
Person Receivinq Complaint:
Phone No.
Date:
I certify that such statement of facts is true to the best of my be-
lief and knowledae. I request that the foregoing matter be investi-
gated and that apuropriate action thereafter be taken. I am willing
to testify to the facts stated in the foregoing complaint in court
if necessary.
Sand Lako Road to Wandering Drive •-
14an::.i(,rinn _)rive to Strav:!, rry Rd.
Go Past dead end sign - 2nd house
on right'-. hand side - brown douse
ai til bri ck work i n front
Complainant
REPORT OF ACTION TAKEN
Investigator:
Date Investigated:_
Action Taken:
DATE COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT:
oat, 41/Vw