HomeMy WebLinkAboutBLD14-00020 NOTICE TO TITLE - AUTHORIZATION FORM
AUTHORIZATION CHARGE FOR NOTICE TO TITLE
PROPERTY OWNER: Ronald Dickerson
PARCEL #: 601273013
ADDRESS: 12874 Coyle Road Quilcene, WA 98376
CASE #: BLD14-00020
DESCRIPTION: Failure to complete permitting process for conversion of garage to occupied living space. BLD14-00020 cancelled 8/31/2020
DCD Director Authorization Signature & Date
(PLEASE ATTACH ORIGINAL RECEIPTS)
FUND/BARS/PROJECT___143000010.55810.31.0020___________