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BoH Complaint_Submission183_10/18/2019 9:37:35 AM_35 PARK STREET Board of Health Complaint form This form captures submitted complaints for Salem's Board of Health department to investigate. Fields with a * are required to be entered. Some fields are greyed �'��M►niE°� out but will auto populate from other field entries on the same form. KIMBERLEY DRISCOLL MAYOR DAVID GREENBAUM,IRS HEALTH AGENT Date* 10/18/2019 9:37:35 AM Complaint Type* Housing Street Number 35 Street Name* PARK STREET Unit Number 1 Occupant Name Tiffany Parcel ID 34-0223-0 Inspector Account SALEM\jorta Ward 1 Land Use Two Family Complainant Tiffany Name* Complainant Phone 617-230-9910 Number* A� Complainant Email Address Comment:* Having issues with her apartment and would like an inspection. Please call to set up an appointment. CITY OF SALEM,MASSACHUSETTS BOARD OF HEALTH 98 WASHINGTON STREET,3RD FLOOR TEL.(978)741-1800 Dgreenbaum@SALEM.COM