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516 Complaint 2001 r BOARD OF HEALTH CITY HALL COMPLAINT RECORD Date: r1/40/ Time: Map: Parcel: Name of Complainant: cv Address: . t Tel: NATURE OF COMPLAINT: %ta A 6-e- G-,t I ...-+-rte Location: g(( , / F,__„ Owner: -7j c.5-6=t_ Ii✓ Address: 5/f, /412.Ift-4+,--v m4i- Tel: f//, Taken by: pZ.., Date of Inspection: rvAr B / Time: INSPECTOR'S REPORT e.•.Y�l del Action Taken: _ °'f�" Inspector Signature