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AMIL <br />SHORT TERM RECORD <br />DST: PROGRAM: <br />PREMISE <br />DBA <br />OWNER / OPERATOR <br />ADDRESS <br />i -?*.t -j IJIN <br />LrCrl y <br />PHONE # <br />COMPLAINANT PHONE # <br />ADDRESS <br />intc. u r 1, <br />TENANT PHONE # <br />COMPLAINT ;F 1 ti, 7 J�A r, <br />f h V, Ir, <br />FA <br />DATE <br />NO. <br />MAIL NAI <br />DATE BY <br />REFERRED TO: <br />DATE BY <br />ABATE NOTICE <br />DATE BY <br />TRANS/ PREM. FILE <br />DATE <br />DATE ABATED. <br />SUPERVISOR <br />�I <br />I <br />