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a <br /> STATE FIRE MARSHAL DIVISION <br /> MINNESOTA DEPT. OF PUBLIC SAFETY File:. <br /> 444 CEDAR ST., SUITE 145 Page of: Z---- <br /> TATE Fla MARSHAL ST. PAUL, MN 55101-5145 Ins p.Date: <br /> 651-215-0500 TDD: 651-282-6555 p <br /> Time In: ._._._ <br /> �. INSPECTION AND EXIT INTERVIEW Time Out: <br /> Time on Insp.: <br /> PROPEJY� <br /> L"rilu OW c„�Y fl;�Dtn 0 ��UF 'taNHtiER <br /> CJc I-T: 371-El 235 MIN STFtz.ET <br /> L I;E 114`JG472 PEUUOT LkKLS MN 56472 <br /> Jcc 38 3: 2i$-56a-aa,: <br /> ITEM# CODE JDAYSTO�l DATE <br /> t�.. <br /> SECTION ••• CORRECTED, <br /> i <br /> fC, <br /> .._�1�j--�- - ------- - _ids?.dL_..�f��LfL�.__[_�%__�r�.[A'Cr� .P.�stt�_—_t[� �!'�fr�✓ <br /> .max.r- <br /> - <br /> tom._. a -._f �,.�r�%�L•�_GS_ GYdiP .., <br /> cc <br /> r IcJU f 2 LU <br /> ��.. <br /> r1¢ <br /> W <br /> CL <br /> CC <br /> �' cr <br /> - — A&K 0*r4Fezt,—w_ <br /> LU <br /> f, <br /> W <br /> 5 s$o �. <br /> s.c&ICe-,7-0__ - -- <br /> SK_F_S_�_ ._��?_-- •�-,�#s-t-taw.�-s.�.a.uc�cc�_-��rr.�,,3._-s�-�.��,1 � T� <br /> i'� �l�t• lie ins t��' ,+s <br /> Persons on Inspection "' Reviewed by: <br /> FOR FURTHER AS ISTA( C , PLE SE CONTACT INSPECTOR NAMED BELOW. <br /> Owner/Rep.:_ Inspector: , �yS �U 7� # 12 <br /> (signature) FACILI ( ) (Phone) (Badge) <br /> PS01/6-01 I4/99, <br />