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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