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SNOHOMIs' -OUNTY BUILDING AND PLANNING DES'"TMENTS <br />COMPLAINT SHEET <br />_ <br />The following must be completed in full: Date % S —.-- -- -- <br />/ rCa <br />Name of Person causing alleged complaint l L/_.X <br />Nature of alleged complaint ——_--/— <br />A 4 iL / t . . i - .. J . ,, vrn e e ICi Y!7 U gA_e%%Lol <br />Address or directions l� < � r' _ <br />Name of person reporting (plle�ads�e� Sion) I/ L <br />Address�/� o O _�—��/� hone, �02 ��7�6 . <br />Under RCW 42.17.310. the Public Disclosure Law, you as complainant may in- <br />dicate a nreference for disclosure or nondisclosure of your name to inquiries <br />from the public. <br />Please indicate by checking the appropriate box whether or not you wish to <br />disclose your identity reaarding public inquiries into this complaint. <br />You may not disclose my identity <br />upon public inquiries regardinn. <br />this complaint without my per- <br />mission. <br />You may disclose my identity upon <br />public inquiries regarding this <br />complaint. <br />Q <br />It should be understood that if the case is filed in court; that your name <br />must be disclosed if you are to be a witness in the case. <br />DO NOT WRITE BELOW THIS LINE <br />Date <br />Investigated by __ <br />Conditions found <br />Persons) contacted <br />Action taken <br />Results and follow-up report to be sent to <br />Phone <br />