227 Complaint 2010 • )i I I f 1 `_,
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ORIMIN Time: j,,0
Name of Co r
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MIMIAddress:
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NATURE OF CO-q551 }IQ- MPLAINT:
C S Cl e
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Location: ZZ !
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Owner: r�lij,�'t,
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Address:
Taken by Eg i .ate of Inspection:
Mal
''--JJ �� INSPrE_CTOR'S REPORT:
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Action Taken: K�. ; _ hlut:u:n,i,a:Jt+t :1 ,•�,,, i., 1_'i
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