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' DENOLZTZON CHECRI.IST <br /> �►aa�ss _ al(� �, Di��S�On/ Dat� _ il-aa-�i�f <br /> Oi�TNE R �R V E ol- t�0 2oTrf�l 3 Roc„Jn/ ' <br /> __„yL Open iiindows <br /> _ ✓ Open/unsecured docrs, (eccessible to children, <br /> animals, etc. ) - <br /> `✓ Broken vindows (ja4Q�d qlaas remains) <br /> �/ � vnsecured open3nqs tbat permit water to enter <br /> interior eausinq damaqe to; ✓eeilinqs, � <br /> ✓walls, ✓floora, ✓Iec�ririnq, <br /> drainaqe�nto sanita y �ewer, other <br /> _✓ Structure opea durinq xinter � <br /> � ✓� itater � plu�ebinq spsteas includinq traps <br /> . probably not Qrained or treated with anti- � - <br /> freeze throuqh Minter causinq damaqe. <br /> _,✓ Foundation deteriorated : . <br /> � / Porch and porcb steps deteriorated ' <br /> � �� i�later aervice disconnected � <br /> Date //-i7-�lo . <br /> _� Exterior deter�orated . <br /> � � Gas �eter locked in "OFF" position <br /> . - - <br /> � � Gas �et�z removed <br /> __ <br /> ✓ Electric meter iemoved <br /> __ . <br /> , ` ✓ One tain buildiaq , � <br /> • � �rnace questionable <br /> _,/ vacancy date �y'�f� <br /> ,_� Accessory �trscture/s �indicate numberl <br /> :.DDZ'TT_ONAL CONNENTS _APPR(��rLy f�,Flr��or��0 ANO �nl <br /> �1���cZn�s coNono�1 <br /> =::hi*�i� :. � <br />� <br />