HomeMy WebLinkAboutCORRECTION NOTICE (3)e"nARAADV nF VI(M ®TInNS
Item VIOLATIONVIOLA
REQUIREMENT FOR 'CORRECTION OF
VIOLATION K
DATE FOR
CORRECTION
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InsInspectors p Received by:
Signature: -
Phone: '-' - 6 - 0 6 Print Name:
Dater Date: - Imow:,
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.
Sir nature:
Titter
Print Name:
Date:
KPS #8446
Il....r D -inmee (nnxl th hA -qPnt in after Return- to- Comol'iance Pink _ Prevention Services Copy