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<br /> iProperty Addres_`�`j :�-�-='�--��'��v n��j Ouncr'r; iL . _ ___ .
<br /> , OccupancY s.� . O�aner's Addrass
<br /> t:o, Of Ilousing Un.it� � _ Second Parry N,.�� �.y c F-�,5�"( G A G �� i ,� .
<br /> c�.e ,-t�. L�) : i-�.'..2A l.o��
<br /> ito. of Stox�;es f�� Address ��.,-t-r,. ` _ . �.,��-� 1 :-i�,�
<br /> ConstritcCion Tyne ,_U,7,��� ;'fchf ' `- Coi�plaint? Yr_s ido ��-
<br /> Basen^_nt: Full ;,,; BV �ahnm?
<br /> Date � � i ^ �� -
<br /> .___L_
<br /> � 'l � Time � ,� �, %J �..I ' I:��nector ,�r_`L�'l/_ �d_,�1�,.-�
<br /> Date Time Parcel in :?oned
<br /> Lot (s) 31ock Dimension oF Parccl
<br /> Plat Tntcrinr „ ['�tcci_r,� �
<br /> d. Inadeq��atc Sanitatirni:
<br /> �/�.. I.dC)C OF� OT` LIi1�.i1DC1' Wdt•.: ,CLO�vt� 12:"liqpq� }�:itii�l ��� 0.` G^019CC,
<br /> ✓2. Lsck of, or imnrcper kitch^_n sznk.,
<br /> ✓3. I.ack of Itot and/ur co1�3 :•w'minn, war.er Co ��lumbim; .,:.t��re.
<br /> r%4, Lack oE adequatc hr.atint; :aci.l=ties.
<br /> — 5, I,ack, or improner operation of required ���ntilatin; �quip�icnt.
<br /> P01M7 Sl'.tcV�. ,.�J1 �-.-ttiJVJy iti1 i��� � 4-( '.' l�._I � (�.Cl ���
<br /> ✓6. Lack ef minimum amounts of nntura7. li,r,ht and ventilc;tion rc,;, b� coda,
<br /> ✓ 7. �oem and space dimensions less thau rc•�uired by cc�ic.
<br /> ,.= �'. ir�ck of required el�ctrical li:;htin�;.
<br /> ✓ �. uanpness of h�itab.le rocns.
<br /> �1U. Infestation OP li1Sr?r_t�, vcr•�uin, ox^ rodc�r�•..
<br /> , 1.1. Gen:x..�l dela�i3ation oi� impmpe. maint: n,�:� .:.
<br /> 12. t,ack oE connection to requSred sewa�;e 3ispe:;a.l svste-�,
<br /> . i�. I_^rl.� ,�.r. ...1�,.��� �ro ,.:i�l..ir.. u�.l . ,�l,hi.�i. �:I....��ii:n m��l . �. ... ,.�1. 1'.t�•i 1 i ; i� ,.
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