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_r <br /> Date: <br /> Property Address: X33 3 1 a d 3Z-7 5 rev+u ��. Jytkl,� , `75 33 <br /> Structures) p6sted: <br /> Verbal notification to Sheriff's Department tO'ate: Initials: <br /> Add to the 404b list Date:, -2:93lnitials: <br /> Signed 46 4� e <br /> -------------------_---____-_________-_______________ OPY <br /> Remove from the 404b list <br /> f Date: Initials: <br /> i <br /> I have notified the Sheriff's Department Date: Initials: <br /> I <br /> Signedi <br /> I <br /> .t <br /> I <br /> i <br /> r' <br /> 1 <br /> i; <br /> f <br /> ii <br /> j} <br /> .1 <br /> { <br /> i} <br /> a- <br /> iI <br /> 3, <br />