& Bridge St Complaint 2011 Date: QI2z iC�
Time: 2'tt P"` ,
I Map: z pW�z3 Parcel:
I
Name of Complainant: p � /
`
Address: l
Tel
}�NATURE
re,4C")Jt
pLeci — t —�
161/4.64c
OF COMPLAINT:
SI-
EEC , 4 6-c- ��c.°--1,-' '"-,
[tea s%6 .9' i et.—&........ ...0
si-u.
Location:
Owner:
Address:
Tel:
Taken by: Eo
I Date of Inspection: Wiz_404 ITime:
INSPECTOR'S REPORT:
47zz72-c.4 - c n,dehit — rw pak ui //ea co--c .
f df �e ykii
tliOltlimf,rotukH $ye¢llaill5e'�
Action Taken: n/ / ,vE ar noLY
Inspector Signature.
O