HomeMy WebLinkAboutBLD11-00110 NOTICE TO TITLE - AUTHORIZATION FORM
AUTHORIZATION CHARGE FOR NOTICE TO TITLE
PROPERTY OWNER: Michael Bair
PARCEL #: 901051001
ADDRESS: 5411 HWY 20 Port Townsend, WA 98368
CASE #: BLD11-00110
DESCRIPTION: Failure to complete permitting process for detached shop building. BLD11-00110 permit cancelled 8/31/2020.
DCD Director Authorization Signature & Date
(PLEASE ATTACH ORIGINAL RECEIPTS)
FUND/BARS/PROJECT___143000010.55810.31.0020___________