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CJ!dPLAIN �DNESTIGATIOhI FOP.".4 <br /> " Date Complaint Received ����t �/ ( ` �� <br /> � <br /> Received From �t�(��/S�/�1aV S , <br /> Address <br /> Tele No. ���"�?i1� � 2 <br /> NATURF. OF COh:PLAI NT L/�17V�' Es2� �� a U T— <br /> (�' u � �. � � ,v � t1 ,- 33� 2 L� ��r-R..� <br /> . TJ"{�S 4'f :/ V C/ I��� � '�GY�. �\. � Li " ZJ Li L <br /> . ' C � / / / Jr�� 1 ' <br /> Date of Inspection <br /> VIOLATIO�;S �'OTED <br /> � .� a L <br /> U�n ��/o <, r7 :���%�;� r �� /'F�rr' �i.�_- / �, o� �-��7r <br /> / il: �/7�i ifi�ia nu 5 C'c,�v /J! T ��rx-v �LL v s % �'�/= i7C/�1d1/sHL-"/� <br /> fj�6a [�l�y!?.�%�'/°�ls G 2abr,f�/ G ufi�' e r �i S'IIJL` (H/�i 6�t v�r /'o Cv�'rf, <br /> • Owner/Tenant Name �La?H �Q NlCN�OE? SI�IoT <br /> Address , �'�i T "' 7'S �' S]� �'elE'/?.r'j`� �1/ A �w <br /> ACTION TAKEN <br /> � <br /> r,��k�erd MRS Flok'p p N,�'�1AIr�PsNoTa� baosNr�-�p o n� <br /> Y�Ro. t'F�nNvNf �e GF7` TiC.F" �Ir�di?Ets wkri'C tu SF��q <br /> ,� LEJ'TFl1` I 7'oLh �,O I�HUa/Ll�/r AF.IO�r' I�G bu �V G _F/�p�s v <br /> .. <br /> c,L4 U�.� O�ur H �s� i3,� �br'Mo<isH�-u �- <br /> REh1ARKS <br /> Follow-up date <br /> r <� ., <br /> > � <br /> - . �.... c( �z�L/`L�.,-� <br /> Inspectors Si�nature <br /> a <br />