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. _.( <br /> ' �r <br /> '..�..�'- 1 <br /> rNsi�t:c�rron< <iri�oiri• <br /> Property Address .�3��1!? ,�,..C%e'•d O�;ner ' s �amc �__�, 1 <br /> Occupancy � ' ---. Owncr ' s Address ��.��'� y/� �j/ � <br /> � �5:7��Y�LZilLd�. H <br /> � ' <br /> No . Of Ito;ising/U its .��,��__ $ccond Party � <br /> �No . Of 5tories �c.,,,�_ ilcl�ress <br /> Consti•uction 1'ype ����_ Complaint? Ycs _� �o <br /> H H <br /> Basemeiit : l�ull ' �� r/ �� ~ � <br /> �sc,:,.�.c._. 13y whom, � <br /> m <br /> Uate -�4-$` Time �; "�,U�s� inspector —���` � <br /> Datc Time Parccl i.n zoncd _�� � <br /> Lot (s) °�,5-1 ISlock _��>' Dimension of Parcel � <br /> H <br /> z <br /> Plat ,,.x����� Tntcrior ,_ Exterior � � zy <br /> Inadequate Sanitation : <br /> � � <br /> ' o �v?� Laek of, or improper wa[er closet , lav�itory, i�athtub , or shower. <br /> 2 . Lack of, or improper kitciicn sii;k . � '� <br /> � � <br /> �`S. Lack of hot and or col<'. running wat.cr to piumbing fixture . � <br /> � <br /> ��. Lack of adequatc hc:tting facilitics . <br /> � � <br /> S . Lack, or irnproper oper�tion of r:quired vcntilat.ing cyuipmenC . � <br /> b . Lack of minimwn amounts ol' nr�tur.il light and ventilation reg . � <br /> by co�c . ' � <br /> H <br /> � <br /> 7 . Room �nd sp;ice d.imensions less th;m reyui.red by code . � <br /> `N• L�ick of rec�uil'ed electric;il ] i �;ht. ing . � <br /> � <br /> � Dampness of h�bitabie rooms . <br /> ] 0 . Tnfestation of insccts , vennin , or roticnts . <br /> �1 . General delapid�t.ion or im�iroper maintenance . <br /> 12 . l,ack of conncction co rcyuirc�( scwngc disposal aystcm. <br /> %� 1 •i . Lack of. adcyuatc g;irba�;c and ru66ish sturage and remo��al <br /> facilitics . <br /> / <br />