32C-058 (4) aC v �
City of Northampton
Massachusetts -- �,
DEP RU—Nd OF P ILDING INSPECTIONS
212 Main Street • Muriciaal Building �•
< _ Nortl— ton, MA 01060
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MAY 2 7 2014 �! COMPLAINT SHEET
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0 oso T lephone [ ] Complaint No. :
Personal [ ] Date
Letter [ ] Time: AM [ ] PM [ ]
Telephone No. :
-
Complainant's Name:
Complainant's Address:
Complaint received by:
VIOLATIONS OF:
[ ] Chapter 350, Zoning Ordinances, City of Northampton
[ ] 780 CMR, Mass. State Building Code
[ ] Sanitary Code, Art. 2
Complaint reported against:
Name Tel.
Address:
Location of complaint: Map: Lot:
Signature of Complainants:
Nature of complaint:
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Investigation:--Yes--- [ ]--No- [ ] Ir-'ves tigated by:
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