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<br />C.l1Y OF CENTERVIUE <br />COMMUNTTY AC170N !fIOTICE <br /> <br />Complaint Number <br />I 1"91 <br /> <br />PART I.. BACKGROUND <br />COMPlAINANT <br />Last Name I Staff <br />I <br /> <br />Date Complaint Taken <br />I 7/8120031 <br />Time I 8:00 AMI <br /> <br />BY: <br /> <br />First Name <br /> <br />011 <br /> <br />r <br /> <br />I Phone # - home <br /> <br />Address <br /> <br />Phone # - work <br /> <br />_B_a~.~._._._._.~.~.~.~.~.~._._.~._._.~._._a~._._._._._._._.~._._a~._._._._._.~._.~ <br /> <br />COMPUUNTINFORMATION <br /> <br />ADDRESS: I 17351 I Meadow Lane <br />NAME (If KNOWN): <br />IHUbbell IIJoeI <br />Last First <br /> <br />Phone <br /> <br />Junk Vehlde 0 Weeds 0 Animal 0 Noise o Other lilI <br />Explain <br />Pool that has the ability to contain more than 2"" of water - no fence <br /> <br />What type of Response is Required: <br />Complainant Response Required 0 <br /> <br />Immedlat 0 Time Permits 0 Complalntant Informed 0 <br />RESPONSE METHOD: <br /> <br />Department Referred to: <br /> <br />(Department) <br /> <br />(Employee) <br /> <br />~._._._._._a~'~,_,_'_.~a_'_'~'_._'_'~'_'_._'_._'_._'_'_._._._a_.~.~._.~a_a_'_'~'_'_ <br /> <br />PART II. FOLLOW UP: <br /> <br />_ TaIuln !SpoIoo _ lam Moore-SyIres regarding sending _. <br /> <br /> <br />Completed 0 Date of ActIon I <br /> <br />Person Contacting Complainant: <br /> <br />Department: <br /> <br />_a~._a_._a~'~'~a_'~._a~a~D~a~.~a~.~.~a_a_._.~a_a_.~._._.~.~._._._.~.~.~._.~a~.~a_a~. <br /> <br />Additional Information <br /> <br />I <br />