HomeMy WebLinkAbout2301 F ST VIOLATION NOTICESUMMARY OF VIOLATIONS
Item
VIOLATION
REQUIREMENT FOR CORRECTION OF
DATE: FOR
#
VIOLATION
CORRECTION
,.. 7 'C_S 00 d td r P114
Inspectors
Signature: :
Received by•,.._
Phone " ;
Print' Name:
Date:
Date:
- T .r
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certify that the violations noted above on this Notice to Comply /Summary of Violations have been
corrected. I have personally examined any documentation attached to the certification to establish that'.
the violations have been corrected.
Signature:
Title:
Print Name-
Date:' .
KPS #8446
White = Business Copy . Yellow - Business Copy -to be sent in after Return -to- Compliance Pink Prevention Services Coav