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<br />CITY OF CENTERVILl.E <br />COMMUNITY ACTION NOTICE <br /> <br />PART I. BACKGROUND <br /> <br />COMPLAINANT <br />Last Name !Staff First Name <br />Address I 011 <br /> <br />Complaint Number <br />1391 <br /> <br />Date Complaint Taken <br /> <br />I '7#~~ I <br />Time I I <br />BY: <br /> <br />I Phone # - home <br /> <br />Phone # - work <br /> <br />-.-.-'-'-'-'-'-'-'-'-'-'-'-'-.-.-.-.-.-.-.-.-.-.-.-.-.-'-'-'-'-'-'-'-'-.-.-.-.-.-.- <br /> <br />COMPLAINT INFORMATION <br /> <br />ADDRESS: I 1874! jCenter Street <br /> <br />NAME (IF KNOWN): <br /> <br />[Borchert I I Molly <br />Last First <br /> <br />Phone <br /> <br />Junk Vehicle 0 Weeds 0 Animal 0 Noise 0 Other IilI <br /> <br />Explain <br />Pool without a 6' fence. <br /> <br />. <br /> <br />What type of Response is Required: <br />Complainant Response Required 0 <br /> <br />Immediat 0 Time Permits 0 Complaintant Informed 0 <br /> <br />RESPONSE METHOD: <br /> <br />Department Referred to: Paul <br /> <br />(Department) <br /> <br />Public Works/Building Off. (Employee) <br /> <br />_0_,_,_,-,-,-,-,-,-.-._._'_0_._._.-.-._._._0_,_,_._0_'_._._._._._._._._._._._._._._ <br /> <br />PART n. FOLLOW UP: <br /> <br />Action Taken IForwarded to P.W. for verification. <br /> <br />I <br /> <br />Completed 0 Date of Action <br /> <br />Person Contacting Complalnent: <br /> <br />Department: <br /> <br />_~_._._._._._._._._._._o_._._._._._._._._._._._._._._._._._._._._._._._._._._.~._._r <br /> <br />Additional Information <br /> <br />t(IAMd~ ~ U)tUJ. #f .N~ /Z{~~ <br />y.~~ ~J/s:h} /~ - <br /> <br />It{ <br />IpJ <br />.7 <br />