247 Complaint Record BOARD OF HEALTH
CITY HALL ,
COMPLAINT RECORD
Date:
I Time:
Map:
Parcel:
Name of Complainant: ,n. Salters
Address ti-1 3 SA-0.4-C. Sci
Tel: Sir‘/ -
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NATURE OF COMPLAINT:
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Location:
Owner:
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Addre -: Z2 0 Cl'os s4 ±
Tel:
Taken by:
Date of Inspection:
Time:
INSPECTOR'S REPORT:
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Action Ta en:
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Inspector Signature
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