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E . Inspection Summary/Comments (Optional) <br /> Provide a summary description of each item which resulted in a rating of " Fail' or " Pass with Comments . " <br /> Tenant ID Number Inspector Date of Inspection (mm/dd/yyyy) Address of Inspected Unit <br /> Type of Inspection Initial 0 Special 0 Reinspection Ej <br /> Item Number Reason for " Fail' or " Pass with Comments" Rating <br /> It 11 111- 11- t It <br /> to <br /> 4yII <br /> STATE OF FLORIDA e .o *,\SSI �NERS , ° <br /> INDIAN RIVER COUNTY <br /> THIS IS TO CERTIFY THAT THIS IS , 0 <br /> It ; <br /> ATRUE AND CORRECT COPY OF c � � . <br /> THE ORI GIN AL ON FILE THIS • a • toy <br /> OFFIC DID ° <br /> FREYK. B N , L se , o 5 ` <br /> ' i ; <br /> 911, 190 <br /> D , C . <br /> 6• 906 <br /> 4PC <br /> 064 * 09 <br /> DATE 'I �7 �•'���1ANR, n!G ~. <br /> Continued on additional page Yes No <br /> Previous editions are obsolete Page 7 of 7 form HUD-52580 (3/2001 ) <br /> ref Handbook 7420 . 8 <br />