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<br /> � , , /, SNOHOMISH kBALTiI DISTRICT
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<br /> /`�>,�� ',. 5 4L' �" Court itouse
<br /> . ••-- ,�_1 fiverett, tdaehington
<br /> � _ �'��'3�� 259-9•'a99 � �
<br /> �", l �_\ _ COMPLAINT SHGET � �
<br /> ,1 � �I� DATE. -��• Il` '7.� __ !
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<br /> Nature of complainc_ �� .��•���. /Yl�, � tit' / - �c� �l,�R�. nC{��� �[�r � �
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<br /> Name oE pereon caueing thia complaint �QHH � ,
<br /> Addrese or directions �{O � !� — lL�' C+��r'I�ft �icc.F
<br /> Property oW-ner� Addrees��_lf�. �leN �. I
<br /> Irame of pereon roporting
<br /> Address 7 .� �� �v�C-'�L- . Phone �
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<br /> DO NOT WRITE BELOW THIS LINL� '
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<br /> Investigated b��� � , - ��� Date J — I'�/—�l> �
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<br /> Conditione found . �il ' r ���• -- � , � �� , c C ��� 1
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<br /> Pereon (s) contacted �,; 1 ���(y���y� , �J/�f, /�(fj Q�
<br /> Action taken_ �in� ,�D �OZy i��C .l — 'LD-y�/�/�,�1 �Pi�✓y /
<br /> i Dates
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<br /> • REV 3476 �•�,1,�
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