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F4d.81 (rev.09/21) <br /> Wisconsin Department of Agriculture, Trade and Consumer Protection Wis.Stat.ch. 97, <br /> Division of Food and Recreational Safety Subch.III Wis.Admin. Code <br /> 1 Y,LA <br /> PO Box 8911 Madison,WI 53708-8911 ch.ATCP72 <br /> . Phone:(608) 224-4682 Fax:(608) 224-4710 <br /> LODGING ESTABLISHMENT INSPECTION REPORT <br /> ESTABLISHMENT NAME LICENSE TYPE LICENSE NUMBER <br /> AU Rental Tourist Rooming House ATCP-053433 <br /> ESTABLISHMENT ADDRESS LICENSEE <br /> 30240 South 1st Ave Charla Zaccardi <br /> Danbury,Wl 54830 ATCP-L51925 <br /> ESTABLISHMENT ESTABLISHMENT EMAIL LICENSEE ADDRESS <br /> PHONE <br /> zaccardia@gmail.com 5463 ERICKSON RD <br /> (651)675-7480 MOUNDS VIEW, MN 55112 <br /> INSPECTION DATE INSPECTION TYPE FOLLOW-UP REQUIRED - TYPE FOLLOW-UP DATE <br /> 04/22/2024 Pre-Inspection NO <br /> The inspection report formatting has been updated and is not a facsimile of the original report The information(data)contained herein remains <br /> unchanged. The Department of Agriculture, Trade and Consumer Protection(DATCP)has made a reasonable effort to ensure that the <br /> accompanying information is up-to-date, accurate, complete, and comprehensive at the time of disclosure. The inspection report is a true and <br /> accurate representation of the data on file at DATCP. <br /> COMMENTS <br /> This was a pre-inspection where the operator gave the sanitarian a code to enter the property. License is to be released. Use this report as your <br /> license until the actual license arrives in the mail. <br /> OBSERVED VIOLATIONS <br /> For detailed code language regarding violations,go to:ATCP 72-Hotels, Motels, And Tourist Rooming Houses <br /> Your signature on this form acknowledges receipt of the inspection report, and is not an agreement with the findings. Signing this form is <br /> voluntary. Personally identifiable information you provide maybe used for purposes other than that for which it was collected. Wis Stat <br /> 15.04(1)(m).Any operator aggrieved by an order of this department under this chapter may request a hearing as provided in Wis.Stat ch.227, if <br /> state licensed;ora local ordinance, licensed by an agent health department. <br /> PERSON IN CHARGE N/A - SANITARIAN - Alex Hintz <br /> Public Health Sanitarian-Advanced <br /> alex.hintz@wisconsin.gov I (608) 977-0242 <br /> Page 1 of 1 <br />