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� �� 1 <br /> f��"f COMPLAINT INUFSTIGATION FORM <br /> ��� <br /> Date Complaint Receive� � " �/ 9'E' 7 3 , <br /> Received From ����-S �U/'CSLt� <br /> Address SS/ ni L C /-/vC ,� <br /> Tele No. ' <br /> % �JpTURE GF COMPLAINT J�'✓K '� �I� �1ND �� � <br /> �i S� '� I,tYa[-n�v7- — ALso /Qr"rryA.�S a � <br /> i ' <br /> A �t'''�°��sN�'D s?2ucZ,Er — SHr_ %�i�s s���v ' <br /> C N/L n�t'�'1� p L/9-`�/N� i�./ �Lr /g2 tr/j` I <br /> Dateof Inspection 3' ��- 7.j ' <br /> VIOlATIONS �'OTED <br /> l���,s a��ec� - �%, w��r o� �.l�w- (� c� �r_.e <br /> Owner/tenant Name �Ci�� ��CLI'�� -' <br /> Address J���(o �v�GS'�cQ�LGc.� Wi�y �' <br /> � <br /> ACTION TAKEN <br /> T�Iiirc� io c9wc��=�vs SEr�PE7�cQ� 7`N.Ex � <br /> �N r L/ T",Gl � ro d�� ��/u� 77-�r u�� �9 ��.. % � <br /> i f�,� �G�c� v <br /> .. <br /> LL <br /> R hE 1ARKS <br /> I <br /> i <br /> Follow-up date � " ll' Z"� � <br /> �•�'�-C°O �-i t�CzN s!J <br /> Inspeciors Signature <br />