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COI�PLAIP;�IN`.'ESTICAT�ON FOM <br />�11711" <br />N�V <br />Date Complaint Received 1, / <br />Received From <br />Address <br />Tele No. <br />NATURE OF COMPLAINT <br />i - <br />Date of Inspection "-CL �4 <br />VIOLATIONS t,'OTED <br />Owner/Tenant Name <br />Address <br />ACTION TAKEN <br />3'a 1 O ��o MtcAR1� - <br />j A�w-AAf�Q coy--1 <br />2�Ai2S �a�x"f wt_`' <br />REMARKS <br />Follow-up date <br />I <br />Inspectors Signature <br />12 <br />