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204 Complaint Record 4/7/03 BOARD OF HEALT CITY HALL COMPLAINT RECORD _ COPY Date: y -9 . 03 ITime: 10:34 An I Map: Parcel: Name of Complainant: a o oraw -klavng.s Address: Iag 3ou6noo4, De-sr-IL, tJ. Tel:534-51AI $7-L2. - 60 35 NATURE OF COMPLAINT: Trash Di) ova- -1-11-•- 'And - Ca.n po. ... bd uuw, ou, QT+r-- ✓, al-s+0 -Naas.,, -Pawn rnto Wlruw, ,+c. . Location: 109 Ooubrocs_ fl co.,,_, ;P/a nit.' rlr6ir Owner: C.UCnw fi, w u 567ri Address: Tel: 58-z-U r473 Taken by: I Date of Inspection: '4- 7- 0 3 Time: lr r r• r,/q INSPECTOR'S REPORT: tmE« nnia..,T "F Z>eros (Acre., nee:• ) SCInTGRco -n¢m,-YKJ) MO Grrc o t incyXrc'ke.FUL L We l) - °F'cfP 56x.1.9 ' YI>aN 44'O AIOL).?HLK is O/1G/, Zt /7 7�5 //✓cAA£ p r�14.or(lo.3a--,9 Sr ' r,.._„c' e.. ;.-G-rc,tivoc 51-St (i)/U'i) £n6.:trn“r% Pac rey s ,:,- a„IIPhe,o1„Taken Check So It YES I Action Taken: L,/f (4,u12 - Inspector Sig ature e