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<br />IN-HOME OBSERVATIONS •
<br />owner &/or Tenant:_ � � �i�Isa �
<br />1 Observers : �;�� ,�
<br />Address: 313 o w �o � — .
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<br />City: �� c r� (� � State: .. i ,,;,
<br />� '`f?�' `7��-�t� ✓.t,('.���n e.
<br />BEFORE ; Date : 12 �w %S7 T '
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<br />ime : I . 3�� To ; I ' ��' � Weather . �
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<br />Set Descri tion: '
<br />P �vt h�� Size:^��� B&W: t� Color:
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<br />Call Owners Reception
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<br />AF7'ER •
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<br />s Set Rece tion
<br />Date: Tim�; T�:
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