Laserfiche WebLink
• 1(Page 2) <br />bFINE ID # OR PROSPECTING(' ID # M 'J$ 3 `~ <br />INSPECTION DATE ~~- ~a ~~/5 _ <br />OBSERVATIONS <br /> <br />IO~ a <br />INSPECTOR'S INITIALS ~S <br />f ~ ./~r~-+c.~t-Jti. wry ~T'"`2 ~-,-~ /ILc.~d...c,2. ?~ Q ../~ ,.~s~+..CAKly,11 <br />~ ~~~ <br />~,--~ . <br />`~~~~~. <br />('".`^~f ~"*~,,~~,/, .~,-~...=1. ,;„~G.,~~ e:~.k,.~~, w !~-~4 .,1.~ Gam., a.~,P~,., <br />4 .N. h. 1~+~.u~s.-.r~ <br />A ' <br />~-~ "' ~ ,~,~`' ~ ~ ~,e C-e-~. ~L~._,~.d „>F,,-1..~. -~i.-wL<. e/.t./,~ r~,,,,,a~e7-o=ff <br />I.v.~,~.t. wed ~..-.~., ~t'.1'-`.~ ~ ~y ur~-t a~3~-ahr--~- •-~-~ c-o+C~r~ Ga. pCn.ur-Q-c.r <br />I 6 E Contact Address UU cc: ^ CE ~ ~'~"` M ~'~ ~~ C <br />n d n //.~ ~~ ~~ ^ BL I 1 ~+^4i.L ~/ ~ S'r H J Pit- <br />NAME /~ ' ~^~` ~`-'"`Y ^ FS ,.t..,fl G' ur r ~. C. <br />^ HW SfNV~^ <br />OPERATOR ~ C.A'1~-cl~-t~-0 a SHMNTID (CH) 1' ~D g i ~+~'^ <br />STREET /' ~' IJ rY' ~//''p ~~ n ! -T ^ WQCD (CH) 1z ~~(,~ ~, g~ ~~ <br />Q / ~ ~-0 ' JS ~W SV ^ OTHER ~ <br />CITY/STATE/ZIP ~ <br />