FILE 75-861!. 1
� Location l!„f `! Ya ,P K,; f � .: i � . Date Rcd
Occupied By r9; -I, 5
'OWNER'S Name
Address i ° %f c d Phone
STATEMENT� 0• �F COMP!LLAIO /�j/
VIO
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Type (Bldg.l Sign Elec. Plumb Zone Fence
Source B C F H M PL PD (PUB) T PW CO
RCD By `I' ! tr'-� -+-.
Form 280-638
Complainant h
Address o E Phone ?9 6-ZJII� Z
Letter written
DISPOSITION
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NO7N",E4 LaMPcA/NANTGN /? 23.75
Date closed By &4,Vv 7