NO PERMIT NUMBER 1027 November
INVESTIGATION RECORD
Location ��� File No. L/� 7,T
OWNER'S�Name
Address '/'��� J � �'i� Phone 2�2 77�U
Other Responsible Party
Address
Type of Investigation, > ^�^'• 'T_ "
Remarks _
Disposition
Date Received-
Z— Date Closed 12—
y�Gg
T
Form 280-45 3M II/64 BreW1Ck
1027 November