38C-044 (4) \ City of Northampton _
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I - r DEPARTMENT OF 3=ZDTNG =SPECTZo
212 Main Street • Municipal S,aildi n R E C '
Northampton, bilk 01060 fi
INSPECTOR
Anthony Patilio
COMPLAINT FORM OCT - 2 2.019
Building Commissioner
DEPT.OF BUILDING INSPECTIONS
NORTHAMPTON,MA 01060
Received via: Telephone [ ] Complaint No.:
Personal [ ] Date: , 20
Letter [ ] Time: AM [ ] PM [ ]
Email [ ] Telephone No. (! 5�: 3-7
Complainant's Name:
Complainant's Address: 24 S SCC
Complainant's Email:
Complaint received by: �Slf✓\'
Violation(s) of: [ ] Chapter 350, Zoning Ordinances, City of Northampton �'1
[ ] 780 CMR, Massachusetts State Building Code / (D
Complaint reported against:
Name; _ _ Telephone No. :
Address:
Location of complaint:_ .S � �� � Map: Lot:
x
Signature(s) of Complainant(s):
Nature of complaint:
Logged: Yes [ ] No [ ]
Investigation: Yes [ ] No [ ] Investigated by: