55 complaint am(
Geo Tracking #: Vt9b tal Entered By: CO Date Entered: /14 7'1�o
BODYART FOOD FOOD ILLNESS HOUSING NAIL SALONS
NUISANCE ODOR PESTS POOLS SEPTIC
SMOKE WATER/SEWER HOARDING OTHER
COMPLAINTANT'S INFORMATION: Call Taker Initials:
(d4u / ec
Date of Complaint: it / it / i6
Complainant's Name: KA.VY1, p 4 ipii .) Telephone# y3) - /?Occupant's Name: Telephone # ( ) -
Complaint Location: 5 5 Cv'F, st
Animals: Y/N Child Under 6: Y/N
NATURE OF
COMPLAINT: As 17-ieigze4 rn— hlmod- tits /f Aff,0-144
keit
e n a fr7 d gut e34- nor/73-„a
V iii l )h1 m • wiegAitioisika- / c7 eet Grid' S 1 tic aAPL •
vias , GG«t /l e ar S t s �r�t-r Cr a/144 �`�' (f S
51'u C0-144 hd te 541-u a ce'Ve cy. CCo rGc.f a
OWNER'S _ O NATION:
Owner's Name: Address: viretratridOcelephone# ( ) -
Property Mgr./
Land Lord: Address: Alternate # ( ) -
Inspection
Scheduled on:
Complaint
Unfounded:
Conditions
Found:
ACTION TAKEN: Q c31A n ,
C to6st cliasP eve ' (\n Co �L. Aderp
-
,gfr
2_6(
�v
Signature of Inspecting Offi - Date/Time of Inspection
P P
Wt. P .94- Y
2
� d o __r , , ft\
T !�jJ�7i bo-s 'ev-e et pa i -est.!
'�`�� PPS
tscies
tau ce( s d ck,� e Cc 63s F' er6(16g d p •.-
c,2)(xee(OcC
` ( 3 - 32o - 1322
Ckf c`54-f ) ee(oc' F/a .C1'ryl
!• p
kee-eiva 6,_6(pLI;
1117'0 Q°
e- 55a, csce.,
`fr,e_ - p. c tom (1
¼/ z -
0
1/