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1;�Si i�:l1i�i�l ii:,�iil�T <br /> / T "� <br /> i'.�op�.ty P.cldre�;; zZ l��G .T�O�mer's ::_-_ F�- �— �D �,�ji0�¢7l��sC� ' <br /> --f�--=-- -�_ <br /> Occupanc•:_�/�------ Osmer's kd'. _- -CQ��� C��l�_ <br /> ���. �r �]OL:SlIi� �niY; � Second Pa^ty� -- <br /> I;o. of Stnries / �ddress <br /> Construction Tyce�p���{�P_ ComPlaiut? Yes ido C� __ <br /> I:aser.�ent; i'ull,_���/,� lip iahom? __ <br /> Dc;te�7� Tine �j ��C`icJ p_,(�_Insnector ��j^j _____ <br /> C-�te 'fi-me Parcel i�i '.'.oned <br /> 1.ot (s)� � 91ock �Q Dimension of Parcel ____ _ ___ <br /> Fiat`�'j- o� lAl7�E2CIT Q�� �1 7nt�rinr i'�cterior __ <br /> �----�--- - -`— - ------_' <br /> B, Iuad�qudte Sauitation: <br /> !t� Lac}; of, or iuproper �or,�c ,].oset, ]_.� •.�torv, t,ati�ti�}��, or r;?:o;:er. /�Ro�tza� ff�Cl�sS.�,G- <br /> i1. I.ack of, or it.oroper kitchcn sinl:.. ,- ��okac.� <br /> r3T L�ck oE hot atd/or cold runnini� >:at:.r. to pl c;bir:^, +:i::;.i�r�c. �D�k��� � d"*'^°��o Z+a��, <br /> � Lack of ad�qu� te heatinn facilities. <br /> 5. Lacl:, or imprcper operation of requirr_d van^i].�ting equ::,: .r:, . <br /> 6. lack of minimum amounis of- natur�l li:;ht and ventilr,! `. :i : , } � cc:r:. <br /> 7. Room and space clinensions less than r��ui:.e:� I_;; co l_ . <br /> a. I,ac}; of.' required eleetrical ]ir�,i�i'inq. <br /> i� :,ainpnes� of ha�itable roon:> $(,�D!> oq�Prai To c:��f4-7h� <br /> 10, Jufestaticm o� insects, ver;r.�r, �r rn��_nL:,. <br /> �f.l. C:encral dalanidation o.r improper maintenance, 1�_ct2y Q,L.ti�, q.c T'�24 <br /> 12. L::cl: oP connection to rmpaired ::etaat;e di^po�e) r,,::tc�:. <br /> � . i i._, � �. . � . ... . . . .. . .. . � . . . , ,,:.�i , ., � i � ;�.,. <br />