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CC;SPLAI� IMlFSTIGATIOF! FOP.�d <br />Date Complaini Received ��^�l _ �� � �9 �y <br />Received From ��-� ��w� <br />Address _ _ _�VC�� �� /-� U}- <br />Tele No. <br />NATURF OF COhPLhIf��T ��a� !� Z�, ��-�.C,L' �;� <br />%�'�� �/ �� ��`-•�9L �(�O�'19/ZS S,./S S7P�vIJA-f�-� <br />�n�o 6/� s Ji.tik A �ib S �n.�o �-t n s N- ��- r- <br />���� ���-f' � . 19�3 /yc /Ju�-c.�cc i,w=ni,,..- <br />Date of Inspection <br />VIOLATIO�;S t:OTED <br />�h�i 2�' 19�y <br />2-UL�1 J`•-/�'c �/fs l l�o�P(> /a ���U. I J/_�C�/-' <br />W/�i-t`:e n.� C�' uJ � 5 l��.'�U %� v L L U/� -%�%�L� S �`/v �cF <br />/� inTl �JiY/�l _�l71t/�L��" W1%� �Q �jG• j`i�Lf' %N l! 0��14'�N:•i �lG��' <br />� � S / " '�f �� I-Nc/i Pi.�riv /-✓[c ✓: -'/JC.tJi �:s <br />Owner/Tenant Name <br />Address <br />ACTION TAKf_n� <br />� <br />IA�S'R'9. I'. . G A��/�NS <br />��r> ljr'ai�.��c✓�-� Ac�� <br />%` ��( 5 �'�lrG <br />�-!!�� 7, � �C�ci i �1 �v/� /f/,-' (.�'uv ib l�i�ur �Li�'.v-�//'/� /� <br />REh1AFiKS <br />Follow-up datc �!�/ii r=' 1$ ��5 !`� <br />� <br />, ._.�' ��� �/ - <br />��,f- �i".>='�..% �� >. <br />`Inspeciors �ignature <br />a; <br />� <br />