Laserfiche WebLink
� � C <br /> �� �r� � <br /> DATE: ' � 3 - & � TAREH HY: <br /> DEPT. RECEIVINC COMPLAINT e PHONE: ���� <br /> COMPLAINANT'S NAME: <br /> COl�LAINANT'S ADDRESS: <br /> COriPLAINANT'S PHONE: <br /> YIOLATIN'i ADDQBSS: 3 <br /> INITIAL INSPECTION: �- `1 i - & INSPECTOH: �'�.v�r.r+�..% <br /> / /1 � �. <br /> COBE VIOLATION:�,� � � .td } ��-1�u� �� n � A� �r <br /> OFiNE& OP PROPffitTY: T"� - <br /> OHNffit'S ADDRESS: ^- G <br /> OHNFR'S PHONEs <br /> PARCEL ZONED: � - 5 <br /> REFFRRED T.0 POB ACTION: DATBt <br /> BUILDING OFFICIAL: ' <br /> PIRH t�ARSHALs <br /> POLICE DEPT.t � <br /> LECAL DEPT.: <br /> CODE COMPLIANCE OFFIC�s <br /> HOUSIt� CODE INSPECTOR: � o � -✓ r-/�+ � �. �n++.� �d'�'�' <br /> COPY TO NAYOA: /o - �° Y- �tS' <br /> CHIP OPFICS: - � `�-��� — <br /> 0211f <br />