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s " ' . <br /> � DEI�IOLITIOAt CHECRZ,IST <br /> ADDRESS `T�� E, /"Ylf}(�I�Tl�- Date '�!�'-�js <br /> OWNER �'i�a:� � ;,Ftir1:: r;�.c; ;;-� v � ►.,r� rrr'.� . <br /> ' � Open Windows <br /> - <br /> ✓ Open/unsecured doors, (accessible to children <br /> animals, etc. ) . ► <br /> _,_✓ Broken x3ndoWs (�aqqed qlass remains) <br />� _..,_ Uhsccured openinqs that permity�ater to enter <br /> interior eausi�q damnqe to; � Ceflinqs, " <br /> �walls, ►�Ioors, elec. Mririnq, <br /> drainaq�nto sanitary sewer, other <br /> ,_ Structure open during winter • <br /> • _✓' Water & plua�bing systems includinq traps <br /> �r o b a b l y n o t d r a i n e d o r treated with anti- - <br /> freeze through winter causinq damaqe. <br /> ✓ Foundaticn deteriorated � <br /> . __ - . <br /> • ,_✓ Porch and porch steps deteriorated � ' <br /> • _ ✓ Water service disconnected '' <br /> Date s- Y_y�' � I <br /> ____ ✓ Exterior deteriorated <br /> . _ . Gas meter locked in "OEr" position <br /> ✓ Gas meter removed <br /> � Electric meter temoved <br /> --___ <br /> . _✓ One main buildiag � <br /> • .__✓ F�rnace questionable <br /> vacsnc_� date <br /> i� Accessory �tr�ct�sre/s findicate number! <br /> :+DDI'?'IONAL COHNE�ITS �P�r� ��0 �t��N(bN�p - Qt �N� <br /> � � .,,PS A C' A SO�ii'':l'i��Bt L�JMf "' �i�l.f�JJee.1�I 1 tr68�d <br /> l/ �� <br /> =::hi�-=� . . <br /> .-. <br />