123 Complaint Record 1992 Name of
Complainant
BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
Date'
Q-"e Time g"5°`r''v7
(✓ry r.iuJ
Address /73 SO' 17,9N Sr, m''gI`"- Tel
Nature of Complaint HOT f Cairown7Ef /A'✓104-04r7C O/ZG�FA7
-f'/M ES - - Son,Er/mt s 41440E4 0475 %'S
Location of Premises / 3 So. /,7,q//4S 7, fir2g0✓/Cr:
Owner C' •4W/E I/Gab/NGE,C
Address
Occupant
Taken by
Date of iaspeetlen
/0- T.
-7j
Referred to —
Time
INSPECTOR'S REPORT 1EA/ONr SPbk5 of Oa..ov4,Q ---lum«Hta
BntA IF Am C/pfEC
Action Taken
/ Ho'tz/n,a v 0c7-9z.
—Printed on Recycled Paper—
peer