HomeMy WebLinkAboutWalgreens - Complaint Intake Form - Complaints - 800 WAVERLY ROAD 3/7/2022 North Andover Town Hall Health
120 Main Street Phone: (978)688-9540
North Andover, MA 01845 Fax:(978)688-9542
www.northandoverma.gov
NORTHANDOVER HEALTH DIVISION
COMPLAINT INTAKE FORM
Nature of Complaint Case Number:
Food Service ❑ Nuisance
❑ Pool ❑ Housing Time:
❑ No Permit ❑ Septic
❑ Date: ,Z:ODa.r.
Other
Complainant: Location of Property
Name: Name: �a 11 req
Address: Address: 300 (^/�
Email:
Contact Person:
Telephone: Telephone:
Anonymous: Owner:
Description
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Inspector: Complaina t: