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�-01V'� <br /> C�Tx oF oRONo <br /> ,,.,, � Street Address: Mailing Address: Telephone(952)249-4600 <br /> ��, � 2750 Kelley Parkway P.O.Box 66 Fax (952)244-4616 <br /> ! F,�' Orono,MN 55356 I Crystal Bay,MN 55323 www.ci.orono.mn.us <br /> '�kESHo� <br /> Property Complaint Form <br /> Date: �����`� <br /> Address or location of Complaint: '���L ���v� W�1 <br /> Description of Complaint (Be specific, but avoid providing de ils that identify ourselfl: <br /> �r,�.1�,Y���'l �r���� I I ` i\ ���'�i <br /> r�� <br /> ����������������������������������������������������������������������������� <br /> ����������������������������������������������������������������������������� <br /> For Office Use Only: <br /> PIN (if no address): <br /> Staff: �. J�, Date Received: -z..�. T <br /> Violation Present? Yes; City Code Reference: or <br /> No/Unfounded - Describe: <br /> ----------------------------------------------------------------------------- <br /> ----------------------------------------------------------------------------- <br /> Identity information of individuals registering complaints is c/assified as confidential. <br /> C`i!v v'�r �-C7����A��'Cl � r 'JD'✓� ►�V�" ',..��u.''� '�^tl (� �i�vh ��'N�\.!,`�-�� <br /> Printed name of complainant Phone Number <br /> Signature of complainant e-mail address <br /> Failure to include your contact information may invalidate this complaint. The City does not <br /> provide updates or detailed information regarding open violation files;you may contact our <br /> office to inquire about the status of your complaint. <br />