1623 Washington St.tif 74
City of Blair, N ebrcs k a
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Citizen Complaint or query
bate:
Name of Occupant: mr\ + -
Address:
Name of Property Owner: DCA Je_ Che y-6k k fL
Address: 2 - Ct - 1- Lul C) g
Nature of Complaint or inquiry: CA f f I e
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as G'�D UA & LaIvV t
Name of Caber. 1p? r C
Address:
Phone Number:
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