Street Address: ____________________________ Map Grid#:__________
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| 1) Deterioration of Piers | |||
| 2) Unstable | |||
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| 1) Material Damaged | |||
| 1) Frame Rotten | |||
| 2) Boards Missing | |||
| 3) Collapsing or Near Collapsing | |||
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| 1) Boarded | |||
| 2) Broken/Missing Glass | |||
| 1) Appears to be Abandoned | |||
| 2) Brush Around House |
| Physical Description: | Physical Location: | |
