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: I.•5',-C�PICI; 1t1:Fi;;;i
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<br /> � Proprrty Address I � 2`"� �,,�,�� �;-,.�fL�Wtaner's ;.'„r,.,•
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<br /> -��J�.�L-------
<br /> occttpancY S i r.,� � c_ � '� t - I' �. . � . i... . �. _ -
<br /> ��' f __ ._. ' i O�;ncr's r.ddress
<br /> �.'o. Of Housing Unil-; � � ^
<br /> � Ser_ond Party
<br /> P7n. of Stnrics ,
<br /> ,� Addrr;;
<br /> Construction Type ,��,, c .i � �^
<br /> ����� r_fCA�^��� Comnla�at? Ycs i10
<br /> Bascr2nt: Full L.-'
<br /> _.__ �7Y whom'?
<br /> Date _ ''��-• ' Time ' � h"I ,__insoector � �
<br /> — _s:�_� �._� i - -
<br /> Date Time
<br /> ------_ �� Parcel in :ioned
<br /> Lot (s) I + �loc;c " �.
<br /> —3---_� ��,�'r Dirnen^,i.on of- Parccl : �"� �< I? 0
<br /> PLat
<br /> ' F r�i,�`f � � __���:_....L�__Inr.erior i'tit�.ri.or
<br /> F1. Inadeqnate Sanitati.on: _ _ ' __ .--
<br /> 1. Lad; of, or iir�proper �.�at > clo�et, lavatot•v bati�Y�ib r � !
<br /> > , :; io�.aer.
<br /> 2. I,ack of, or imoroper lci.t�:hen sin)<...
<br /> 3. Iack oE hot and/or cold : unni;r+ w;:ler to pl.umbinr fixt mc.
<br /> ��. L•�r!c of :.dequate hcatin�; raci].iLies,
<br /> 5. L-ick, or im ror��r p
<br /> P - o r.rntion of requirr.d vantilatin� eq .ip;aent. •
<br /> fi, I.ick oF r�inimum amounls of natnral li�ht ,.r.d venti7 ati_.�n rci'. lr,� co.,.•,
<br /> 7. i�.�,cm and spaec dinrnsions less than rcqui,,.:.�• • cc-',_,. .
<br /> 3. .'.�ck of require:l cicr.*rical lis;htin�.
<br /> 9. :�ampness o: habitable rooms.
<br /> 10• InfesYatien oF in:;ects, vermin, or rod�;�t;,
<br /> � Ll� General delan�d,�tion cr im���r m-;� ten,,u�,•,
<br /> i'. I,��.c}; oP ronn�.cti.�n �:o ^-�cnir�•c,a .._�.-�q� dispo.;.: ! ... .,� _ .
<br /> �?. ,_ ,.i .. .,� .,,. . . . . �� � , .. ,�. , ��. ... ,, .,,,�,.�� , ... . . . ... � . ., t ; r ,.
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