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:
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Location: g(( , /
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Owner: -7j c.5-6=t_ Ii✓
Address: 5/f, /412.Ift-4+,--v m4i-
Tel:
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Taken by: pZ..,
Date of Inspection: rvAr B /
Time:
INSPECTOR'S REPORT
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Action Taken: _ °'f�"
Inspector Signature