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HomeMy WebLinkAbout2017-11-7 - 19 John Fitch Boulevard - Correpondence Agreement ^oW� oKF •1 ,o�H sr• .i/ Town of South Windsor — Health Department 1540 Sullivan Ave., South Windsor, CT 06074 — Mailing Address J 1530 Sullivan Ave., South Windsor, CT 06074—Office Address Phone Number: (860) 337-6173, Fax Number: (860) 644-1930 1 understand that the South Windsor Health Department is now conducting routine inspections electronically. I elect to receive my inspection report by: Email Of-ax O USPS Mail Email Address (if applicable) l'�.-1-�.J�n ,�r`r•� v .1c �5 ter•r �� C!, Y1 Fax # (if applicable) '�bu - 2-13L Address l N 16 S-1,41, C-T 0 b Z(-il Establishment �� �'1.VrL,\f— Manager/QFO Signature A 7 IC A �CJ Manager/QFO Printed Date � k1-1h