Laserfiche WebLink
CG'�PLAIP: 11lV�STIGNTIO�: FOP'n <br />� .: ._ <br />Date Complaini Fteceived 4 +�`" /" <br />Heceived From � .`' '�� <br />Address <br />%1"322 � �c i �'' <br />_ -S � ,. ,. <br />Tcle No. �' S �� <br />P;ATUFiE OF CC'�PL�+INT l-"�`'' <br />i i '�:� _ !,. : <br />Ti.� . � � � <br />i < <, <br />� � . � , �� � <br />,�,� , - <br />Date of Inspection <br />VIOLATIO�;S t;�TED <br />0 <br />a <br />i� , <br />� <br />� ��� - �� ii'�5 � i' �� � �; <br />i�, , _ 1�,-;;. . ,-. li i� /�_ ��� , .'�( • <br />Uwner/Te�nt Name i � � ��� �' '"'»'v 4 ��n^�r <br />Address � ; ; , . .�.c' �.y�'t'Nlatc.��,�1��75�/ <br />ACTION TAKE�! <br />- � -, <br />C'�:Ic��" � Siu�, � r.. ��.� r� ��'�" ,. <br />� <br />li 1 �! i I �'ii�'1;.� ��s(i iy�i(�/� /� <br />t, �.r., A/,;,frAr N/�,/.J .s1.'c�'d:r�> ��%-�i,�1 1/v CGc,N;1_/�(Ca(.�� <br />' .+ <br />FE��ARKS <br />Follow-up date _;_( ^ � ` <br />� <br />Inspectors Sipnaiure <br />� <br />i� <br />