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
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