36-165 (3) •,�o oy Lrity of 'Wart4Mllyton
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Offire of # e
g � h �Insver#or of �Auilbings
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212 Main Street•Municipal Building
-;. - Northampton, Mass. 01060
COMPLAINT SHEET
How received: Telephone ( ) Complaint No.
Personal ( ) Date:
Letter ( ) Time: A.M. P.M.
Telephone No.
Complainants Name:
Complainant's Address:
Complaint received by:
VIOLATIONS OF:
• Chapter 44 Zoning Ordinances, City of Northampton
• Chapter 802 As Ammended Mass. State Building Code
I-Sanitary Code, Art.2
Complaint reported against:
Name: __ �s Al k 0 N' `- Z Y/rr/ Tel. - p :2
Address: �'""
Location of complaint: Map# Lot# ��-
Signature of Complanants:
Nature of complaint:
Investigation: Yes (ZNo ) Investigated by:
P 0 q?.f,`