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Inspector must draw a plot plan with all building locations on the back of this sheet.
Revised 10/2003 (1)
BUTTE COUNTY DEVELOPMENT SERVICES
COMPLAINT FORM
This information is not available, to the public!!!!!!!-.., ,
DO NOT COPY FOR THE PUBLIC OR••THE FIELD INSPECTOR!!
The following information is required for Housing Complaints and the
Complainant MUST BE the Person living at the complaint address!
Complainant:
Address:
Phone Number:
The above`irifornmation-is not available to the public! ! ! ! ! ! !
(2)