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COMPLAINT INVESTIGATION FORM <br /> Date Complaint Received � f ` � , — —1 <br /> Received From S <br /> Address — <br /> Tele No. t' �--• <br /> NATURE OF COMPLA I NT IV Ce(C- N—�D�L C- T \ I � <br /> rcw L) n P, off' <br /> AL,44 Do <br /> - <br /> Date of Inspection <br /> VIOLATIONS I;OTED <br /> Owner/Tenant Name <br /> Address <br /> ACTION TAKEN <br /> REMARKS <br /> Follow-up date /2 <br /> Inspec o s Signature <br />