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, - � �- �,����V <br /> . � Fp <br /> , �- - <br /> ������C� l ��?015 <br /> �� � ��T� �� � <br /> , <br /> f -� <br /> �,, <br /> � .,:i ,,, SC�e��A,tita�ess: �4faN?ng��5ddress: ( �'efephc��re#4S2)�'�-�`� ` �� <br /> �4�'�,�, �;� 275t9�ell�y€��rkway � �:�'3,C3c�x L�tr � �a�c (952',249-4b1b <br /> �c'',,� ,�, Urona;��! 5535b -r1 E3ay,t�hhl 55323 `:. �,vw�v.c`..arcnca.mn.ssss <br /> ,�.'��°S°3i q�` <br /> ~�-..__ __ <br /> Property Complaint Form <br /> Date: 7�7.15 <br /> Address or location of Complaint: 4104 Highwood Road <br /> Description of Complaint (Be specific, but avoid providing details that identify yourselfl: <br /> �dhit� Nick-up has b�en sitt�ng urmoved ��ith t�ti�o flat tires since last fall. <br /> ----------------------------------------------------------------------------- <br /> ----------------------------------------------------------------------------- <br /> For Office Use Only: <br /> PIN (if no address): <br /> Staff: Date Received: <br /> Violation Present? Yes; City Code Reference: or <br /> No/Unfounded - Describe: <br /> Identity information of individuals registering complaints is classified as confidential. <br /> George Applebaum 952.472.1270 <br /> Printed name of complainant Phone Number <br /> 4109 Highwood Road <br /> Pri ed ress omplainant <br /> gappleb@mchsi.com <br /> Signature of complainant e-mail address <br /> Reset Form Submit Form via Email <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 />