NO PERMIT NUMBER (2) 10912 Stelling Rd .
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INVESTIGATION RECORD
/
Location /n 7 4. 117a File No.
OWNER'S Name i C/A4 �t
Address Phone
Complai t11-S -
Address
C Phone Z.S -2 TC�
/Type of Investigation
Remarks Fje I LT 0-rPZ A
Dispos'tion
Date Received-/�-- Date Closed��_�—� �—
Form 780.45