APT 325 Complaint 2011 / �\
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BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD ('
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Dateq
13
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Time
.f i IGEO:� Lu Type:
Name of Co
plainant:
�ZAN
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Address-, i
TeN,�
NATURE OF COMPLAINT:
CCEl r,.._'�- ( tc] . S'�cQ et '-‘ 1 IA �
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Location:
Owner:
Z
Address:
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Tel:
Taken
I Date of Inspection: Ci�/5711
Time: 40y
/
INSPECTOR'S RE`/PORT:
N.
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Total#of Inspections: Orders Issued?:
Date of Final Inspection: / Notice of Compliance?:
0
Spector Signature