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, - <br /> ' DENOLITZON CHECKLIST <br /> ADDRESS _ I(I� E. W R�tJ UT Date a�-�j5 <br /> O�TNER L/1�Lt• .l, J 51�fiCc'(1rJ �.rrb(r_ — Jr^(�RY e a No2A A. S�u�pE-({ <br /> � Open iTindows <br /> _� Open/unsecured doors, (accessible to children, <br /> animals, eLc. ) <br /> — <br /> Broken xindows (jaqqed qlass remains) <br /> � IInsecured openinqs that permit water to enter <br /> interior causinq damaqe to; ceilinqs, � <br /> wslls, floors, _�Iec. wirinq, <br /> drainaq�nto sanitary sewer, other <br /> _� Structure open durinq winter � <br /> � / vater � plumbing systems includinq traps <br /> probably not drained er treated with anti- <br /> freeze throuqh winter causing damaqe. <br /> ,� Foundation deteriorated <br /> � Porch and porch steps deteriorated � <br /> —� <br /> � _� t,tater service disconnected <br /> Date �i-ay-ga <br /> _ Exterior deteriorated <br /> ' __ - <br /> Gas meter locked in "OFF" position <br /> _ ✓ Gas meter removed <br />� ,/ Electric meter temoved <br /> _____ <br />' , _✓ One main buildi�q � <br /> • ____✓ Furnace questionable <br />, _____ <br /> vacancy date <br />,I = Accessory �tr�cture/s (indicate number+ <br />� :.DDI'3'TONAL COMNEAITS _QPt� F�tJO fK3tTt�00n1�'0 <br /> =::h=b=� :-. <br />