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� �_ <br /> HOUSING CODE COMPLAINT WORKSHEET <br /> � <br /> DATE: _ � � j / - �5 TAKEN BY: . � . <br /> DEPT. RECEIVING COMPIAINT: ��_ / <br /> �/ / I 7 <br /> COMPLAINANT'S NAME: i/�_�c�e.ti /� ,c-cu. J� c �� <br /> r T- <br /> COMPIAINANT'S ADDRESS: <br /> COMPLAINANT'S PHONE: <br /> VIOLATING ADDRESS: '� _I� /Ci � �� �` <br /> � j <br /> �..�,_��_ � <br /> COMPLAINT:_�G��-,� — �/ c--,`-- Cc_�sl��,� <br /> / <br /> INITIAL INSPECTION: INSPECTOR: <br /> CODE VIOLATION: <br /> OWNER OF PROPFRTY: <br /> OWNER'S ADDRESS: <br /> ONNER`S PHONE: <br /> � PARCEL ZONED: <br /> REFERRED TO FOR ACTION: DATE: <br /> COMMENTS: <br /> 1638dm 9�j � / 5 3 <br />