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NO PERMIT NUMBER (2) no §t61111tid
INVESTIGATION RECORD
File No----------------------------- Date Investigated...777 .--& Date Recv'd..7"21761
COMPLAINANT'S Name.1G46!.i..... ....................................... ......... ..
Address.------------------------�---....---------------------------------------------- Phone----- ........................
OWNER'S Name........................ .. . ... --- --------------- ................................................
Address.I/An,5...... TEG!/{1/r......��y.- ..................... Phone................................
Type Of Investigation----- i�J !i/Ti-l.is'(l/- X..._...............
-----------------------------------------------.....---....-------------------.----------....----.....-.....------------------------------------
Remarks.....1..U4-----
-----------------------------------......------ .........................................................................................................
Disposition.-....-.................................---------------......------------`-------.....----......---------------------------------
. -................................. .....-- ------......----- ------ ----....-- ---... ................ .....---------.....----
Date Case Closed......;I O — �:�p I ....................................................
FORM 280.45 L163 Stelling
