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<br />crtY OF CENTERVILLE <br />CONNUNrrY ACTION NOTrCE <br /> <br />PART I. BACKGROUND <br />COMPlAINANT <br />Last Name IStaff <br />I <br /> <br />Complaint Number <br />I 1391 <br /> <br />Date Complaint Taken <br />I ?p~'5 I <br />Time I I <br />BY: <br /> <br />First Name <br /> <br />011 <br /> <br />I <br /> <br />I Phone # - home <br /> <br />Address <br /> <br />Phone # - work <br /> <br />_.~._.~I_._._.~._._.~.~a~'_.~'_.~'_'_._a_._._a~._._.~._'~'_._'~._._._._._.~._a_._._ <br /> <br />COMPUUNTINFORMATION <br /> <br />ADDRESS: I 187411eenter Street <br />NAME (IF KNOWN): <br />IBorchert <br />~ <br /> <br />Phone <br /> <br />I I Molly <br />first <br /> <br />Junk Vehicle 0 Weeds 0 Animal 0 Noise 0 Other ~ <br /> <br />Explain <br />Pool without a 6' fence. <br /> <br />What type of Response is Required: <br />Complainant Response Required 0 <br /> <br />Immedlat 0 Time Permits 0 Complalntant Informed 0 <br />RESPONSE METHOD: <br /> <br />Department Referred to: Paul <br /> <br />(Department) Public Works/BuIlding Off.. (Employee) <br /> <br />_._._,~,_'~._'_'_._._a~'~'_a_u_a_._._._q_._._._._._._.1_._a_._'_'_'_'_'_'~'_D_a_._._ <br /> <br />PART II. fOLLOW UP: <br /> <br />_on T_IFoMarded lD P.W. fur _lion. <br /> <br /> <br />COmpleted 0 Date of Action I <br />Person Contacting Complainant: <br /> <br />Deparbnent: <br /> <br />~.~a_'~D_a~a~._D~'_.~a~D_D~.~'~.~'_'~.~D~D_.~.~'~._'_'~a~._._._a_8~._'~a~'_'~.~._._' <br /> <br />Additional Information <br /> <br /> <br />- Wil4~~~ <br />7;"'5~} ~. <br /> <br />Ii <br />f JI~. <br />