NO PERMIT NUMBER 917 01cl Town Ct
INVESTIGATION RECORD
File No............................. Date Investigated`............................ Date Recv'd-3/
COMPLAINANT'S Name._....
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Address--- -----------
..................... ......................... lhone):Y!---
...............
OWNER'S Name----!N��S..LA.... ..........................-------------------------------------------------
Address----- .................................
..... .......... Phone
Type Of
--------------......... ...................
.. P av. . ...............
Investigation.... ............. X
e.
.......... ..........
s' ...........................................................
-- ..................
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Remarks........ JA* -6
..................;...................-....... ...........�\.............(4...........
.................................................---------A..................
O
Disposition----------- -------------------------------------------------------------------------------------------------------------------------
.......................................................I.......................11....................-...............................
DateCase Closed-----.....................................................................I..............................................
FORM 280-45