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office of tht �nzptrtor of 'Pnilbings
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212 Main Street•Municipal Building
Northampton, Mass. 01060
COMPLAINT SH T
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How received: Telephone ��,���, . taint No.( ) Complaint
Personal (�) APR 9 Date:
1 '
Letter ( ) Time: /��A.M. '' P.M.
DEPT.0�Bu1LDING c• j .`'>
NoRTHAtAPT MA®2 Telephone No.
Complainant's Name:
Complainant's Address: r '`
Complaint received by:
VIOLATIONS OF:
❑ Chapter 44 Zoning Ordinances, City of Northampton
❑ Chapter 802 As Ammended Mass. State Building Code
❑ Sanitary Code, Art.2
Complaint reported against:
Name: Y f 'f J I � Tel.
Address:
Location of complaint: ' -
Map# Lot#
Signature of Complanants:
Nature of complaint:
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Investigation: Yes ( ) No ( ) Investigated by: €°