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w.. F4d.81 Ire,09121) <br /> Wisconsin Department of Agriculture, Trade and Consumer Protection Wis.Stat.ch. 97, <br /> Division of Food and Recreational Safety Subch.Ill Wis.A .A Code <br /> is PO Box 8911 Madison,WI 53708-8911 ch. TCP72 <br /> Phone:(608)224-4682 Fax:(608) 224-4710 <br /> LODGING ESTABLISHMENT INSPECTION REPORT <br /> ESTABLISHMENT NAME LICENSE TYPE LICENSE NUMBER <br /> Hytte Ro Tourist Rooming House ATCP-054525 <br /> ESTABLISHMENT ADDRESS LICENSEE <br /> 3372 Dhein Dr Hytte Koselig <br /> Webster,W 154893 ATCP-L53970 <br /> ESTABLISHMENT ESTABLISHMENT EMAIL LICENSEE ADDRESS <br /> PHONE <br /> mark@staynorthern.com 4228 12th Ave S <br /> (651)347-3568 Minneapolis, MN 55407 <br /> INSPECTION DATE INSPECTION TYPE FOLLOW-UP REQUIRED - TYPE FOLLOW-UP DATE <br /> 11/20/2024 Pre-Inspection Follow-Up NO <br /> COMMENTS <br /> This was an administrative pre-inspection for no water test. Operator sent sanitarian a passing water test. License is to be released. Use this report <br /> as your 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 /> Yoursignature 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 forpurposes other than that for which it was collected. Wis Stat. <br /> 415.04(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 byan agent health department. <br /> Image Placenoitler <br /> PERSON IN CHARGE - SANITARIAN - Alex Hintz <br /> Public Health Sanitarian-Advanced <br /> alex.hintz@wisconsin.gov 1 (608) 977-0242 <br /> Page 1 of 1 <br />