HomeMy WebLinkAboutCode Enforcement Photos 1990-5-11
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W.CIT. #
CIT. #
A.I.R.S. #
COURT #
DOCKET #
PLANNING & BUILDING
COMPLAINT INFORMATION & INSPECTION FORM
ADDRESS: ,6~ q 0
ZONE: \.tih.r\ Li (\dt1 M(x)~
RESIDENT RP> I 15" Tit! Lan-G
D.O.B.: <::>1* J~NEP(.. t11L111
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OWNER: f1rf1M)y ~ Up~
ADDRES~
D.O.B. :
PHONE:
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ut:,CRIPTION OF OBSERVATION ' ~
1" 1",""'00 ~ \
VALID VIOLATION? YES NO
CODE SECTI ON:
INS~t~IUK :'l~NAIUKt
UAlt
COMPLIANCE LETTER
COMPLIANCE DATE
DATE
CONFERENCE DATE
TAPED
VOLUNTARY COMPLIANCE AGREEMENT
NOTIFY COMPLAINANT
REVISED COMPLIANCE DATE
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2nd Inspection
y.
IN~Pt~IUK'~lbNAIUKt UAlt
COMPLIANCE
THANK YOU LETTER
///////////////////////////////////////////////////////////////////////////////////
WARNING CITATION #
DATE
NOTIFY DCA
ACM
W. C. DELI VERED
F.I.
COMPLIANCE DATE:
NOTIFY COMPLAINANT
MAILED
//////////////////////////////////////////////////////////////////////////////
3rd Inspection
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IN~Pt~IUK ~lbNAIUKt UAlt
COMPLIANCE
CITATION #
THANK YOU ,LETTER
DATE
PHOTOS
AFFIDAVIT
NOTIFY DCA
ACM
F. I
COMPo
VERIFIED COMPLAINT
DISPOSITION REPORT
ALL INFORMATION FORWARDED TO POLICE DEPARTMENT (5 ITEMS)
ARRAIGNI4ENT DATE
PLEA
REPRESENTED BY COUNSEL
TRIAL DATE
NOTIFY DCA
ACM
FI
COMP
JUDGMENT
COMPLIANCE
.; ~
NOTIFY DCA
ACM
FI
COMP
Form #214
.
.SENDER:
and 4.
Put your address in the "RETURN TO" Space on the reverse.lde. Failure to do this will prevent thIs
card from being returned to you. T.h! fAtuI" raceto! fjlA "YllLprD,~.<l,!l! I!,".'! thlll nam,_q,f tn. P.I12D.
QJ.!tv"IA~ "("I In..'i.. Ih, .rl_Il\.A of )jpllJ!.!Cl. For eddltlonal feel the following service. .r. available. Con.ult
postmaster for fees and check box(es) for additional lervice(s) requested.
1, 0 Show to whom delivered, date, and addresses', address. 2. 0 Restricted Delivery
t(Extra charge)t t(Extra charge)t
.~. Article Addressed to:
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Complete Items "1"aM_'2-~Wllen addItional
JOHNS GAS ANO GROCERIES
) 5390 MAIN STREET
SPRINGFIELD OREGON 97478
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L' Oat. of ~very - tu 1 { :rI ff
PS Form 3811, Mar. 1987 * u.s.G.p.b. 1987-178-268
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services ere desIred, and complete Items 3
14. Artn ~~~t7 9 z
Type of Service:
o Registere'CJ...-"
[]a' Certified
t:1 Express Mall
5j~
o Insured
o COO
Always obtain signature of addressee
or;agent and DATE DELIVERED.
8. Addressee's Address (ONL Y if
requested and fet! paid)
DOMESTIC RETURN RECEIPT
I
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
SENDER INSTRUCTIONS
Print your name, address, and ZIP
Code in the space below.
. Complete items 1, 2. 3, and 4 on
the reverse.
. Anach to front of article if space
permits, otherwise affix to back
of article.
. Endorse article "Return Receipt
Requested" adjacent to number.
RETURN
TO
+~'
U.S.MAIL
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PENALTY FOR PRIVATE'
USE, S300 :'
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Print Sender's name, address. and ZIP Code in the space below.
'.;~TV 0~ ~D'::~":'~~!~!..L'
pI1",~i;Nr S;cPARTMENT
:l:lb NUKIH bth :>1 Kt:t:1
SPRINGFIELD, OREGON 97477
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. SENDER: Complete Items 1 and 2 when additional services are desired, end complete Items
3 and 4.
Put your address in the "RETURN TO" Space on the reverse side. Failure to do this will prevent this
card from being returned to you. The return reeaie! fee will QrQvlde you thfl nam!, of tl1e 'p"srson delivered
IO~d the date of delivsf'(" For 80anlon81 Tees me YOllowlng services are avails. Die. (;onsult postmaster
fo f 8' ana cneCk Dox(es) for additlonsl servlce(al requested.
1. Show to whom delivered, date. and addressee's address. 2. 0 Restricted Delivery
, (Ex:... c/uuge) , (Emu cIuJ'IIe) .
3. Article Addressed to: 14. Article Number
117-192-442
"!Ype of Service:
U Registered 0 Insured
IXJ Certified 0 COO
O Ex M II 0 Return Rocolol
press!... for Merchendia8
Always obt8In'~g;:urture of addressee
or agent, and DATE DELIVERED.
8. Addressee's Address (ONLY if
requmN and fee paid)
JOHNS GAS AND GROCERIES
~5390 MAIN STREET
- SPRINGFIELD, OR 97478
5. Signature - .Address
X
6. Signelure ~ifenY
X -,
7. Dele of Deiit~ 'i"J... _ ;r <7
PS Form 3811. Mer. 1988 . U.S.G.P.O. 1988-212-865
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DOMESTIC RETURN RECEIPT
I II II I
UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
~~~
SENDERINSTRUC110NS
PrInt your nome. eddre.. end ZIP Code
tn tho apece below. '
. Complete ftema 1. 2. 3. end 4 on the
........
. Anech to front of erttcle If apace ,
penn"'. otherwIM efflx to bIIc* of
_. PENALTY FOR PRIVATE
. Endorse article . 'Return Receipt USE, $3~
Requuted" edjacent to number. ~
RETURN Print Sender's name. address. and ZIP Code in the spaca below.
TO ..
U.S.MAIL
~,
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..,FIELD
CITY OF SPRINGFIElD
un"" ., ..........Ul1J l1li J
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Planrll~&!l ..:....,..........J....
225 N. StIl Sbeot
Spnflllield, Orqoo 91417
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