25C-002 (10) Gllff r of Worthantpton •
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Office of tilt '71noptctor of 'PuilDilios
212 Main Street•Municipal Building
�. Northampton, Mass. 01060
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COMPLAINT SHEET
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How received: Telephone ( ) Complaint No.
Personal 2 0 Date: 7"A/
Time: A.M. P.M.
Letter ( ) DEPT OF BUILDING INSPECTIONS
RMAMPTON MA 01060 Telephone No. �
Complainant's Name: 1���/ ��Lr �'�41,4-
Complainant's Address:
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: _ ii°E-«�Jy.� �c� elm/I/ Tel.
Address: //�Z�2a
Location of complaint: Map# —%Y�— Lot# �da
Signature of Complanants:
Nature of complaint:
OYF1f_171716--- 1441 1,1-Li7'1-V
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Investigation: Yes ( ) No ( ) Investigated by:
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SIGNED 144 A &A4,' Z—,, xj".��m I
LITHO IN U.S.A.
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