22-24 Complaint Records & Orders to Correct & Housing Inspections (2) r' ?4n-9, `-1,,7_,L2,7/ ° „M,Y
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BOARD OF HEALTH
CITY HALL
Name of
Complainant
Address
Nature of Complaint
COMPLAINT RECORD
"1" )1" re"
Tel
Location of Premises
Atz; FLA., 4
Owner
Addres I 2
Occupant
Taken
Date of inspection
INSPECTOR'S REPORT
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Action Taken
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Referred to.—
Time-
.kaie-e-td°}114-41-%-
Inspector