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COtJPLhINT INVFSTIGATION FORM - <br /> Date Complaint Received 2 Z <br /> Received From Q�.(3,�A i` <br /> Address _�7 4 7 � .1� n.�. .�,���7 <br /> 7ele P.o. <br /> � i <br /> �JATURE OF C(`.:'�".PLA)NT I�-r�r�1'� . (t._-r �_u,•i- n,t„--� _�r �-.t�' � <br /> � <br /> �i'� � � /r. <br /> „ ,, : ,. ._r � r-:�/� �.� R� <br /> . / r� <br /> ��1" � -�� , , a ���,_,.,.�-„ ,r !:��,� ,�� �tLi_;� . �; : l,�r <br /> s <br /> ��1�;:'� �� ��ric '( F:;�rT u.nl-'-� i)t?.�t�t�cl?L� ` <br /> Daie of Inspection Z z.� � <br /> VIOLATIOPJS A'OTED <br /> c-�.�-�T� 2 c�-� T�ti D � 1�c�e� ' <br /> ��, �� �o.�c� '��vt \\ <br /> � <br /> �r <br /> :� <br /> J� <br /> Owner/Tenant Name M �S . L<<.l�t�i„!J L.Gi.i/Z`S�q� � <br /> �ry <br /> Address 7,l`' z-2 �2�'�.t�c� �` <br /> ACTION TAKEIJ C � <br /> ��c / � S2zi (� ��l�.�T� �O S �1���� �,� <br /> _�_ � - <br /> S�� � c��c -�1�� t�{-� l �l..,s �T�c�n � - � • 4-o J�sT� A ,�r— �c, <br /> ud��� ,,�� To �C�f — ;; <br /> � <br /> REhShFiKS <br /> �/A iJ/.��1" �Do�t,1 (�J .�Y � i/ .� �. cr� <br /> l�7' �� �i�<�1 �C�P — --�rt. L�GLe1�li � _— � �, <br /> . �� <br /> Fol low-up date ���� '�'t <br /> � � ' <br /> Ins ciors Sipnature <br />