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22 OSBORNE STREET - STREET FILE
,0C fi CITY OF SALEM5 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{4�SALEM.COM HEALTH AGENT V COMPLAINT INTAKE FORM Date: Time: Received By: yet "000or Complaint Number: 1715 Complainant 0�j Address: _j= „ �, �,p'yj _Phone: 16 4-2 Investigated By: . NaAew&u' Date: Property Owner/Occupant Name �p Telephone#: �j © rMep- an -/1) Is