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248 HIGHLAND AVENUE - NUISANCE COMPLAINT get , /s -M= � CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH KIMBERLEY DRISCOLL 120 WASHINGTON STREET,4T'FLOOR MAYOR TEL.(978)741-1800 FAX(978)745-0343 LARRY RAMDIN,RS/REHS,CHO,CP-FS LRAMDIN(d,SALEM.COM HEALTH AGENT COMPLAINT INTAKE FORM Date: 'i. '"' Time: �Z: ,;; Received By: ) ' ef Complaint Number: 1782 Complainant Address: Pone: fry /7ae Investigated By: -` Date: 7 ' Property Owner/Occupant Name Telephone #: �� !���Q_ 1 /O')')S' ._. �� Grp� `'•'�rn� l� //�^ ,�/ __ .