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AF-CE - 40786
��� � COMPLAIIVT FORM City of Fridley, Minns�ota Vio Propesty O�mer �� '� .��� �� �.<:- �• sddrass Addr�� ``����-��.r. ;� ���.. � ,� C�MPLAINT iVa /- i�7 i Rej� � Hw. � � . � �� _ � � ,°,� Bw . Coa�laiaant Addrees f-� n" m aes. ,r� , a f�� ,% ,� n , c�c:, � , /t-Lc,.,.�_�; ��r`il - H �tQ. „!,�°�= ca% �^-%!s•�2L� �G '�f_ � � s � tur.a o omp nt: ' . � �r �� �-��, C ,�/" E-4.`'�:�L'-'�i . �.� ,_ �,f1c�? : � � `�-c � .%f � .�.� �' ,G -�'c� � ��viF—=%% ;�-!1 �.L��� �G c'� �/ , ,n`y` � � , c. „ F `"� �L` U � ..�/� �'Ga`f_ -�=,; � �� � � `;:"--� � � �,, ,_ �.f�;.t l�L� �� _ � ��� � ./"% % �� � � �� � _�--; , / Refetred To: ❑ Bldg. Insp. D�pt. ' � Health De art�oeat �' `°"'7 �� t`v��' P �� � Fire Departm�at Aeferred By= ❑ police Department ❑ Report of Actioa Taken and Data: �f� - /�.- �� Tima 0��,' ��- -� Co�eats : ,,r.�G�,�iY �r-�' �/�-f�� � _ �=�.��7'� ��a� � �'l�-�" c-'��_ � �,� G�J'�� � i��"' � � . D�aCa: Fiial Dispoeition Checked By: Fo� �Ir �.i s�s� �LD�. INaR DE►T. � 1 �s� � e w � � �I � . '�� . �o�� � �� . 1. �lp0lClfj b� _ �f __� _�I� � � — 4. Na�e of Violator: H E A L T H C 0 M P L A I N T CITY OF FRIDLEY, MINNESOTA �aas_ es� i�-�„' , � S. Address: 7. Nature of Complaints .. � � -�— � ��� �'� y � � / ��.« S. Conplaiat rec�iv�d by: 9. Compl�int asferred to: � �� r J�� � � d �"o H y .. � . �IOQ� NO . 1r11 h-tr-e� � —6c� _aS�,S % � � 6. Phone No. � (�I � . l�/, 0. D�te � _ > <° — 11. Report of Actioa Takea; (Spscify data of action) �r'- l�� �� � � ��t���� .� _ � _ -� �-, �-� �� 4 i����C.►�� �r�L�•�����°T/ �� iz. a.�e M.a. by: . �c. S — ��- , � . a o 0 �� COMPLAIIVT FORNA see reverse std� for tnstructtons City of Fridley, Minnesota V4tC1RK SI�t�ETKx���x 71�-147 Alleged Violator Addrees °: �• � &ae. Propetty Owa�r Adds�ees � Res• Mr. Michael Tema 4701 University Avenue N.E. �° Complain8at Addtes• (Doesn't want name given) ��• Mrs. George Swift 5940 East River Road H�s• ture o amp a nt: They have had rust in their hot water for some time. The landlord told them three weeks ago the rust would go away but it hasn't gone away yet. DE Referred To: ❑ Bldg. Insp. Dept. H. McPhee � � Health Departmeat ❑ Fire Depas�ent Referted Bq; ❑ police Depast�ez►t DE o Beport of Action Taken aad Date: 10-12-71 Camme�►ts : _1' 15 �P _M. ���`�y7i - �1 �'��`�`� Q� � ��� � �=���..�!� .��-"�' Q ��-�-� �.v.---�.V �� ��<-"— ' ���Ci ,�� �� �' � c,s-.--�i ��,..�-y..�� . �� - °j� `--��" �-a--�� � Dete: l�i�al Disposition Checked By: fOQY � IJ 9/71 lLDi. IN8R 0[�T. �' ° r �i �► • �r � �� � M � 0 COMPLAINT PROCEDURE ACTION RSSPOIISIB�LITY 1. Complaint received, record�d �u work aheet and forwarded to Building I�ep�ction Clerk �rpiet........... Person Taking Complaint 2. Camplaint e�tared � camglaiat io�n, n�ba�ed, �- loggsd, io ths co�plaiot li,�t, aad givea to th� �ilding Official ...............•••••................... Clerk Typist 3. Complaint referred to appropriate department�or - - individual and retumed to Cle�k 1�ipist for diaperement ............................................. Building Official 4. Camplaint forma diapersed ............................... Clerk T�rpist a. Work Sheet with complaint number in addrese folder b. 1 copy in maeter complaint file c. Other copies to dePBrtmen�s or individuals concerned. 5. Record of action noted on master complaint form......... Clerk 1j�pist 6. Final disposition checked ............................... Building Official 7. Comp.leted master complaint form filed iu address file... Clerk Typist :- : -� ... �r« �.., ... . . ;.�. .. . r �.-+-:.. ........:.....r�— :,�, �s. � d�. . F- . .— ., . . '.:.- TT �� � � .� �.�,���W � �. � �,:� �o: ��y-` a, , �.�. �� °., s,�: � WHILE YOU WERE OUq' ��:�-�-. ;�� � Mr. � � � Of: Pltone: � -� p 4'elephoned at: Date: ; `�{� } "�' ���` ` ❑ Seturned your ca11 ❑ Wi11 Q'e1ephone a�a�n � w ��, ��" �- •�' �Jf WisHes to see you ❑ Please return tl�e ca11 � ,,� <. � ;�, ' �"`� �fr;. MESSA�E: ���,.t��A�L 7/- /�� :� �� � f � .� 9 � � �u,a.�, �GG ��'�� _ �.�. �� .ri G� 6a✓✓ /o /y •e /!� - �e+. �' K �� .� — f7 :iia'�:; i;p�s� A'�1 . ' . �� �;, � e /0-13�7 � �, � �: _.. � �":�t-;a: METR�P�LITAN �USfNE55 FORM5 P09T OFFIQE BQX 1105 — 5T. PAUL, MN. SS1G5 K�rv BERa aa�-a��v SP6CIAl121NC'a lN VIRKpTVPE ` : • ^� .. - ,. .m �._ ="�'�'f �. _ _ . _. __r t����t ��s 19�� �c � ifi�..���� ��aa +��t�. �ttt4.9v�����y ���� I�.�. �eap�l.��s, AY�.nY►��ota SSk�� �rea� MY. �'�a: "�� � �ave �cee�i.v��1 e� ���� �� �aapl��� � �ty �te� #.� g+� ap��at t��i�d��g a� 5�t� E�� �iver R�d. �.� �'��+�r 1�� �r� i��t�g+���d �r me, � t�� gxc��.�m aeema� �c� be �.� �he �eot t�at�r. ,��,�, t�e+ +��.�g �c�u�+� ����.�� �aving�„ � uw�� �f �Y�e bni'id�iag g��e ����tiaa �o � +c�gial.��� �ri �he teaaat� �tr �vv� eha n�ae�+�u� a�aag��9t�t�� �� tht� C1tp off��. '�$ s��e aect�mulaea�s�g � r�..r.�r lerge fi�.e �i �evbi� � �owr ��t i�2di� . �3M/�� +��: ���gt Ma�a�e� Sinc�r�l�r: Fridl�p S�ar�i �€ �ith �S�it J. � Puia�.ic '��3��t ����t�.+� �' ' - � � � � � 0 � RECEIPT FOR CERTIFIED MAIL-30� tN._ S T 70 POSIm.,. n. �n . _ L _ _ /1 � _ OR DATE STREET AND N0.n � � _ 4� �O/ !i'� ��ZZi�•� P.O., STATE AND 21P COpE � cSs RETURN �. �nows to wnom ana aate ueltvered ............ 15¢ RECEIPT W�th deliyery to addressee only ............ 65¢ SERVICES 2• Shows to whom, date and where delivered .. 35Q With deiivery to addressee only ............ 85Q DELIVER 70 ADDRESSEE ONLY ...................................................... S02 SPECIAL DELIVERY (2 pounds or less) ...... — .................................... 45Q POD Form 3800 NO INSURANCE COVERA6E PROVIDED— (See other side) luty lsss NOT FOR INTERNATIONAL MAIL # 6P0 : 1888 O-98B-9I2 •timbw a�ew no�S ;i ;i ;uasa�d pue �diaaa� si� aneS •5 •pa;sanba� si aain�as ;ey� ;i p�e� �diaaa� wn;a� ay� ;o Z aui� ui ;uawas�opua awes aq; aaeld 'AlNO 93SS3aa0F� . QJ, ����Q �ua; ay� uo ;i as�opua 'aassa�ppz ay� o; �t�uo pa�an��ap a�si}�e ay} �ueM no6 ;� .�q 'Q31S3f1U38 ld13�38 Naf1138 a�al�e �o ;uo�; as�opu3 •spua pawwn� - ay; ;o sueaw 6q a�ai�e a� ;o �aeq a� ol ;i yse}�z pue 'jigE w�o� 'p�ea ;diaaa� wn}a� z=� uo ssaippe pue aweu �no6 pue �aqwnu �iew-pa�}i�aa ay; a;��nn ';diaaa� wn;a� e}ueM no6 �� '� •a�ai�e ay� �iew pue ';diaoaa ay; uie}a� pue yae}ap 'a�ai}�e a� ;o apis sse�ppe ay}. ;o uoi}�od �a� aq; uo qn}s pawwn� ayl �ai�s 'pa��ew;sad }dia�a� siy; }uenn ;au op no�S ;I .'Z �a��ey� e�;xa ou� •�ai��ea �euu �no�t o} ;i puey �o Mopu.iM aa�n�as aoi}�o �sod e 3e a�oi�e ay};uasa�d pus'pey�e �d�eae� a� gulnea� 'a�aiue ayl;o apis sseippe ay; }o uoiuod ua� ay} uo qn�s pawwn� ayl �ai;s 'pa��euqsod �dlaaa� siy; ;uem no6 ;� �j �uaa aes� 'S391A83S 1tlN011d0 031�313S ANtl 80� S398tlH� ONtl �33i 11tlW 031�I1�3� '(Ilew�lg �o �el� ls�l1) 39tl1SOd �3A0� Ol 31�Iliftl Ol SdWV1S 39tl1SOd ��IlS ,� PLEASE FURNISN SERVICE(�) INDICATED BY CHECKED �LOGK(S). �a _ REQUIRED FEE(S) PAID. s ❑�Show to whom, date and address Dsliver ONLY where delivered ❑ t6 addressee . " RE�EIP7' Received tfie numbereii article described bel'ow. REGISTERED N0. SIGNATURE OR NAME OF ADORF,SSEE (Murt alwu .� r ��' � CERTIFIED N0. �� INSURED N0. DATE DELIVERED �%3� �. i�— ��._� /' /y/ich ��/ T �� SIGNATURE OF ADDRESSEE'S SHOW WHERE DELIVERED IF ANY �G�8-18-71848-11 347-188 aPo � ; �. /. i , 1 _ �� a� V�7 •l�l����'/U,w��� � •a ��nv ��is� o an t � ,�A?I�OIN,� } 1�- oi � �� - /, � � � OOES �301N3WAVd' � QIOAtl Ol 31y _ Of��% .,_, 'aj�R7E 3o s��sq o� pae� srq� q�eue pus spoa pa�umn3 ua�sroy� •apis Jacpo ao (s)ry�otq snaq� 'idia�aJ s�q� uo o,aoqs SaaerTap ;o ssarppe aq� aneq o� }o 'dJaertap »u�sai oi 7oe.0 noR �•moTaq ssarppe poe ameu' ino6 iucrd aat,�o �N�aanrpa ,�o Havw.isva ssaNisne �vioi�o SN3W1�ltld3G 301dd0 1SOd � � v e � W � a b r � i � � M l�