CE 299 ATLANTIC #55412 2015 ► „r
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oft Compliance Investigation Form
Investigation#��54 1*c"�- Date of Request: � 0 / v;k—Time of Request:
Name of Person Making Reque t:
Address: f C4�4�Phone #
Investigation Type:
w
Location (Address) of Violation: �9 q ��� � � Q,, iA d .
Phone Number: Property Owner: 7
Request Taken by: Investigator:
Action Taken:
Compliance: Il
Legal Description: RE#:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009