NO PERMIT NUMBER (3) Locati6n 1124 VerlflgaJ Ave, Date- Rcd 2-2(,o-76
Occupied By
OWNER'S Name
Address
STATEMENT 6f' CSMPLAINT
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recPv►� a�dr� 10A a+ rear w'o
I
Type Q.Bld Si n Elec. Plumb . . Zone Fence
I Source B C F H M / -PSL �{PD PUB) T PW CO
RCD By
Form 280-638
� S'.. Willy
Complainant.,,-rij, k'Q(i(Q
Address Phone 257-142.4
better written i n
?? DISPOSITION
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NOTIFiEQ FIE( p In�${7 Lyoms 7-0 F-04-( G v T142ou6N
Date closed 3 2 7G By 7