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<br /> � Froparty Addr�ess�� c. r � � � ; R O;aner's :1-�,,,c �� �
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<br /> ' Occun�ncy ( � G::�ir_I•�s lt3dress_32^ l �� .�i' /:, "
<br /> � IIo. OF liousin�; Units_�_ _ S�cc;.ct Party
<br /> :to. of Stnries t. Adtiress
<br /> Constrttcr.ion Tyn�^;!��np ,^'('!.I'_TCemPliint? Yc, � - _70_._ �
<br /> raser��n±; Full '— L1;� whom'?
<br /> DatF , � 3 Ti.me l .�"�� Ir,r.nactor �`.. �_.�: r i =
<br /> Date Time Parcel in .'.orie�t
<br /> Lot (s)_ 1)lock Dimension o` Parcel
<br /> Plat Intorior CxCeic.or i
<br /> II. Inadr.quate Sauit:ati.on:
<br /> 1. Ladc of, c�r irnproper afatz cloeer, lavatorv, b%ithYub, c^ she�rer.
<br /> 2. L�d; of, or imnrr_oer kit :hen sink...
<br /> 3, Lack oE hot and/or cold �uurir�q iaater to plumbin�; Fixt irc.
<br /> i •
<br /> ,.
<br /> -' 4. faci< of cde�lucite heatinr; Paci.lir.i.es.
<br /> 5. Lack, or improner operation oP req�iirr�d vantilatin,r, eq �:; r..^nt.
<br /> . 5. L�ck OC minirr,um i)11CLLIlts of nntural lis�he 7IlCj VCI:11�l1�1.;;t 1`�:�, �`•j <`r]f.n,
<br /> 'l. Poo� .�nd spaa� dimensions lc�s th:r. .��,;u�_r��;! b;� cr !c,
<br /> 0. Lack of required electri.�.�J. 1�,�hCi : �.
<br /> 9. uamprtess oc habitaSle room;;,
<br /> 1�. Infestation oF insects, '..._. n , ,�i� ;•: : _,, �,
<br /> `1L General del.anid,zt io;i or i.rnproper m::int�:n,,r.�•,:.
<br /> 12. Lack oC r_onnection to r�aU1PC[� :BWd��^ di��;�.�.31 :,; :r� a.
<br /> L�. [..,� i, ._ .,.i, , �� , .. :�a.. .,,.i , ,ta,, ,,i, ,:� „� . � ,.i „ . � r: ,
<br /> ; i ; r;� ..
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