Permits 178 11 th St Compliance Investigation Form
Investigation# Date of Request: -7—/10 Time of Request: ?`
Name of Person Making Request:
Address: 171' / S?' Phone#
Investigation Type:
"l r)
Location (Address) of Violation:
Phone Number: Property Owner/Manager:
Request Taken by: Investigator:
Action Taken:
Compliance: Z
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d ,
Legal Description: RE#:
F:\Code Enforcement\Compliance Investigation Form.doc Oct 9 2009