|
', � -,.;•=i:C'I� :.'�.',.'G'�i
<br /> /'� ...� � �
<br /> � Pro�+�,ri:y A�l.dress �j� �7C� F-Ci�ilCLc'�4 "� »er'� :Jarc��.�5, E��1L�L � .Sla.t��fJ
<br /> � �--. I'�'—J-�-----
<br /> � CccupancY � I-I— - — 0•:�:rr'� ;1dclres ;��5 ��- Z� � �t�'_7j� ;
<br /> ----�t ��
<br /> ' ito. Ot Itousing UniC;�L ,Second 1'arty �'����•cZ_` ` ���/S S^
<br /> tJo. uf SLDries__�_ Address_ �'�/� � 5� -�'
<br /> ^onstrnction Tyne_�I�__ Con�;laint^ Yus tIu ___
<br /> �
<br /> Daser,i.nt: Full I3y �rhom? �^_
<br /> Date ..� ZL��_Y'i.mc �__Tn:,occtor _
<br /> Date Time Parcel in 3on��d _
<br /> Lot (s)__�__ [?:.ock � . _llin�i�;ion oY Parcel_`_ ^________`^_
<br /> Plat e � �f1S..��11���_ineo:^.�v�-------� ���i:,�ri,x�----
<br /> B, Inadr.quate SanS.tation:
<br /> 1. Lacl< of, or i�nproper w3Cc•. clos�t, 1�,,;'.�:or`�, .�.�ti�[�ib, c � ,ho•:r<�c•.
<br /> 7.. I�Gck of, or im�roper kit<:hen sink...
<br /> 3. la�.}- oE hot and/or cold �unnin;S �.ratcr r�, �,l,nrbin; �°S.::ti.c.
<br /> h, Lnck of adequ_lte heatini� '.'acilities.
<br /> 5. Lack, or inprooer operation of requi�••��1 vnr,tili:in:; o:��i-,�; cn�,
<br /> 6. Lack oF m.iniraum amo�mts of naCural li<;ht �nd vcr.cilneion re�t. b; �od,,.
<br /> 7, Room and sPacc dirensions less tlian :`<'quir:�d Sy �:c�le.
<br /> 3. Iack of requir�d clectrical lin,htinr,.
<br /> 9. ��:rapness uf- h.�l�il-able rocros,
<br /> i0. Infestation of insects, ve=�iin, or rc ' .�:�. .
<br /> 11. Ben..ral d:lnpi�9a2ian or zmproper m•»nteuancc,
<br /> 12, L�cF: oE connection to reZuired ::e:aa�;e dispes,�l , . _..
<br /> l.Z. L:,, t: .,� .,.t...��� .. .. . -i�1• . .��.1 , ..,.h�..i� .:t�.r, , ., . , � � ,v.�l � -, � 7 i t �� .
<br />
|