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HOUSING CODE COMPLAINT WORKSHEET <br /> DATE: �—� ,j - % j� TAKEN SY: ��Le_.� <br /> DEPT. RECEIVING COMPLAINT: � ' <br /> COMPLAINANT'S NAME: <br /> COMPLAINANT'S ADDRESS: � 9/S '�.u..:� i <br /> COMPLAINANf'S PHONE: j,3'"� — �� 3S <br /> VIOLATING ADDRESS: / / <br /> , <br /> COMPI.AINT: <br /> Y � <br /> � � <br /> INITIAL INSPECTION: INSPECTOR: <br /> CODE VIOLATION: <br /> OWNER OF PROPERTY: <br /> OWNER'S ADDRESS: <br /> OWNER'S PHONE: <br /> PARCEL ZONED: <br /> REFERRED TO FOR ACTION: � DATE: <br /> COMMENTS: �ly. O�. O �/O , .,,,.���/' � <br /> 1638dm cly_ � <br />