29-064 (19) PS Form 3800,Apr.1976 ►'
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JU*IK AND/OR U�RE�GIS _ -'��? VEHICLES INsPEC *.S
I'N'SPECTION
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ADDRESS /�2f}rh �erri4t�� ASSESSORS MAP--PAGE COC PLOT
OWNER OF PROPERTY DATE OF INSPECTION
OWNER OF VEHICLE S'c�c,eL
WAS THE OWNER OF THE PROPERTY OR THE VEHICLE CONTACTED AT THE TIME OF INSPECTION? I"�-'
?SOW MANY JUNK OR UNREGISTERED VEHICLES ON T'Hi; PROPERTY?
WERE PICTURES TAKEN OF THE VEHICLES ?
DESCRIPTION OF VEHICLES:
MAKE MODEL YEAR JUNK UNREGISTERED
REMARKS:
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