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CQVPLAINT INVESTIGATION FOP61 <br />Date Complaint Received eP-7d <br />Received From M C C�/,l-[Li <br />Address <br />Tele No. <br />NATURE OF COMPLAINT <br />Date of Inspection —b- Z?--74 <br />VIOLATIONS NOTED <br />�T%A)A1� LyiJ�k �1y![((Vi- li-lelp 01iC) nO <br />Owneri7enant Name <br />Address <br />ACTION LIKEN <br />REMARKS <br />Follow-up date <br />IN <br />nspectors Signature <br />