Parking Lot Dumpster Complaint 2005 IPT
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BOARD OF HEALTH
CITY HALL
COMPLAINT RECORD
Date: 9 r1-05 !Time: 8;
Map: Parcel:
Name of Complainant: Lc); I I�o.nw? Tj ac..
RR Tel: 584 -3110-
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NATURE OF COMPLAINT: .I C%+'°'10 'ae-3
T i'Le. d.uvmpa ts,.. n A Cl +M1LW tanda
fin}� -yjmsUa-' (Lind- }T,:�} o.. +o-F60- nm.+) audit)
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Address:
Loc°uort 3a-s ? laLlu 51- .1) '}an�-Oae.6_moon. Pool
Owner: atte-4.4• -i
,Address: pa" 54-39.4,267 Tel:
Taken by: I Date of Ins faction:
!Time:
INSPECTORS EPPORTth _ 1
',6/7 444 4vacitterneralfAL ,
L'7T ' 1Y Air-I. ote.eiffilit 57L
Unld In %ee�ineel .
£P , 45Wri'
Action Taken
1 ',
Inspect,Slgnature