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a STATE OF MINNESOTA <br /> '� Department of Pubiic Safety °ate�; , � -, <br /> State Fire Marshal Division �� ��� � <br /> Time: <br /> EXIT INTERVIEW <br /> Name: _ f �� Phone: <br /> �'�A l/' S I�V ��f (3 G( � .� �' <br /> Address: <br /> �� 7-.S�' I le �� r : ; �- �r»� !`���11 � -> `' � <br /> Owner of Premises: � <br /> � �� ' � �����./�./� '_ i!/"f re.11f����f_ i, —�F j�'�l-� �_ <br /> r�"� ; <br /> � <br /> In accordance with the provisions of Minnesota Statute 299F.011, Minnesota Uniform Fire Code, inspection of <br /> the above premises was completed and the following violations and/or deficiencies were noted requiring corrective <br /> action: <br /> Code Violation Summary Deficiency and Corrective Action <br /> �.—. <br /> i? ^ <br /> � <br /> ���/� � � 1 ► �` �t!r �� /`�,P_�� ��2_ !`� , /�/'�;��� V'�r� ilj 1^�/3t�r�r�-,� � �e <br /> �. <br /> �`�/'�y (�.1/�.; ►'�"� ��e (...6c�� V �rr�.c`�" i��..� p� �-�.� ��j��ru ;,���- <br /> � � <br /> �i C-�'�W`G i�-S ' <br /> � e <br /> i ,� l� . . / <br /> � ��1�M.9�Cr�-l /�U r,,N'�' �,�C i�S-f � d d Y-�r,�,`C �'�i�''C ��C'��=��j�,�`���!� <br /> ' ,� ./ <br /> �,�;..�,ti l� �--o `�� � � GC. :5��e,�S'�"S. <br /> !,�, ,�Y��'d�.'�- �i.'�(,��s�2� v� ��� .Cc'_..S` /4►^�`c4-^'�f' `�- 'f 0 /'�v`��"��*�fi z C�!'' <br /> � `+,,�f✓' �✓ � � �f_.w �.� , . J / / <br /> d� i .. � 1 t �'�'Gf 1�.fii"P <br /> ��1 �- �Pil � . � <br /> � <br /> ��� e- �A� r ,4��.r ' r � G i'f <br /> � t� � i� �c � G °� � �c r <br /> THERE IS A VARIANCE PROCEDURE <br /> PROVIDED BY STATUTE <br /> •NOTE�Signatures indicate receipt of copies <br /> For further assistance please Owner/Representative <br /> contact the Fire Inspector at <br /> the following number: �"�-+_; � 3��.�7 ^ ^ <br /> � �� <br /> Fire Chief/Representative ire Inspe Fire Marshal Divi ' n <br /> < ,, <br /> i <br /> ►' � � 1����� `�P_ <br /> Distribution: White — Owner/Representative; Canary'— Fire Chief/Represent rve; <br /> PS-06057-02 Pink—Division Office;Gold—State Fire Inspector <br />