Loading...
241 #2D Complaint 2016 1 • 0e dIS• : p lam pay' FIDS03 4O 4^ ov,vp v pvf1 - ')/b)/b p Cxo ^ CeoTra \� �n cki #: � � EnteredE,':C:PIS Date Entered. i BODYART TUSPIQCE SMOKE FOOD ODOR WATER/SEVER FOOD ILLNESS PESTS HOARDING HOUSING NAIL SALONS POOLS SEPTIC_ OTHER COIIf L UN TANT'S EN-FORMATION: Call Taker£nitials: \O Date of Complaint: I l Q / ZCI(P Complainant's Nam- Occupant's Name- Conm.pllaint Teethes: NATURE OF CONTPLAIINT: Telephone# ( \W'o'-F'S) k5S"j Telephone# ( � JrIDrf -C )W66‘‘L, cl\ )(v` 2ixhg-teiD4 ') Z\\ ■ Jn � OWNER'S TN-FORMATION: Owner's Name: Property Mgr./ Land Lord: Inspection Scheduled on: Complaint Unfounded: Conditions Found: Child Under 6 \ \fr2 Address: Address: \00 ANN OLkit-kS Telephone# ( ) Alternate# ( ) ACTION TAKEN: ,D0(25 kcsiE WmJ ir.Speaf o,i Signature of Inspecting Offi er Date/Time of Inspection