Assistance - Template

Site Name:

Address:

City:

County:

State:

Zip:

Directions:

Section:

Tier:

Range:

Long:

Lat:

Assistance ID:

Staff Assisting:

Program Type:

Contact:

Action Date:

Report

Attached Files/Reports

File Name	File Type	File Date	Note

Comments

Date	Comment	Commenter
9/19/2016	called - said one building may be moved ~50 feet. Will not change legal description, matrix; said separation distances still met.	BRANDON MINER

Assistance Details:

Field Office Compliance - Assistance