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6 PIERCE AVENUE - OVERGROWTH COMPLAINT
'M to \ n CITY OF SALEM, MASSACHUSETTS �`_"� BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4 FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(dSALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: Time: _ Received By: Complaint Number: 2195 Complainant — Address: Phone:ILI - Investigated By: Date:.. L) Property Owner/Occupant Name- - Telephone#: J J - — —--