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26 Complaint 1995 BOARD OF HEALTH CITY HALL COMPLAINT RECORD Date: /-. /3-qs ITime: I Map: Parcel: Name of Complainant: fit di One A cd (9. ITe1:5f+-7 '2 Nature of Complaint: /a,,,v,,,,,li Pa' hattij i2 Zc Sl Address: cad. bacK tt, Location: Owner: Address: O-*7--n �J �LkJ (Sig./,. ITel: Taken by: I)$ 'Date of Inspection: Time: INSPECTOR'S REPORT: Action Taken: r�1DE Inspector Signature