NO PERMIT NUMBER (4)INVESTIGATION RECORD
File No./..F./`2............ Date Investigated............ Date Recv'd--7/ ..................
COMPLAINANT'S Name ... Al IAI).�(? -------------------------------------
..............
Phone------------- -------------------
OWNER'S Name ..................
Address ---
Type Of Investigation.., . . ...........
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Date Case
FORM 280-45
1505 Sarat-SunnyvL A