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� <br />i�st�f:crr�� at:�•oa�r �,�,��G��� <br />1'ruperty Address �x,_� pH�ncr's Namc <br />• � — <br />OccupancY 1�R � e� � Owncr's Address <br />No. Of Housing Units Second Party <br />�No. Of Storics _ f��,__ �.qddress <br />Construction 'i'ypc .,`,.r4;,-al Complaint? Yes i ,yo ` <br />Basement: Full ,,�s„-� :;y �,�}�om'? <br />lla[e ��.�1'imc _ //.���G .d ��� inspectoi• �i'� �..e,� il,� . -i' <br />Ua[c 7'imc `_ Parccl in zonc� <br />Lot (s) _�_ 131ock llimcnsion of P��rccl y <br />Plat f�,L��� Ano /�� Intcrior lixicrior - <br />S 9s1 7- o0 0- o o q, - o 0 0) -- --- -- <br />Inadequatc Sanitation: <br />✓I. Lack of, or improper watcr clntict, Iati•a[ory, ba[htub, or showcr. <br />.2. I.ack of, or improper kitchen sink. <br />v3� Lack of hot and or colct runnin}� �.�ntcr to plwnbing fixture. <br />�'. I.ack of adequatc hcating facilitics. <br />5. Lack, or improper operation of cequireel ��enTilating equipment. <br />G. Lack of minimum amounts o£ natur:il li};hr. and ventilation reg. <br />by cadc. <br />i. Room and space dimensions less th,in required Ly code, <br />L&: Lack of reyuired electrical li+;hting. <br />(:1: U�mpncss of habit.�blc rooms. <br />t-t� Infest:�tion of insects, vermin, or ro�lents. <br />._1-i: Ccncral del:ipidatian or improper maintcnancc. <br />L1� Lack of connection to required sewage disposal aystem. <br />G-��• Lack of adequ�tc g;irUagc and rubbish storage and removal <br />facilitics. <br />� <br />