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' 3 ' <br /> � DENOLZTZON CHECK�,IST <br /> ADDR.ESS _ g�a �(, /r1oN2p�= Date <br /> _?z-17��1 S <br /> ot�t1ER _ �ryl�y )�E P�cicr�7T <br /> ' ✓ Open �Tindows <br /> . -_ <br /> Open/unsecured doors, (accessible to children, <br /> animals, etc. ) . <br /> ✓ Broken x2ndows (jaqqed qlass remains) <br /> _,✓ � tTasecured openinqs that permit water to enter <br /> interior causinq damage to; �eilinqs, � <br /> ✓walls, ✓floors, �I�c wirinq, <br /> drainaq�nto sani a y sewer, other <br /> _✓ Structure open duriaq Winter � <br /> � / �,tater � plumbing systems includinq traps <br /> � probably not drained or treated with anti- - <br /> freeze throuqh winter causinq damaqe. <br /> _,� Foundation deteriorated : I'� <br /> � _,�,/ Porch and porch steps deteriorated � I <br /> , � ___✓ �tater service disconnected <br /> Date �}uG - i59� <br /> _____✓ Exterior deter{orated <br /> . _✓ _ Gas meter locked in "OFr" pos;tion <br /> __ Gas meter removed <br /> __,__ � Electric meter temoved <br /> . ____� One main buildiaq � <br /> • ._ ✓ Ftirnace questionable <br /> vacanc.� date <br /> � Accessory Str�ctnre/s (indicate number! <br /> ;,DDr'3'TONAL COHME�ITS _�gE Q���� 5�(C�?P�0 n�T <br /> _ l�� (��rn�a�l�� t��ll�� LL`F� �nl SID Neirol!-f�oes fOrnh�.AiN <br /> � +4S S i�l�!�j V A C��2 t rJ'�Yj FMeft I N • F�T N c�i!�-T <br /> __�� <br /> =::hi'�:� - . <br /> .-. <br />