Permit 1195,1197,1199 Hibiscus St CITY OF ATLANTIC BEACH
SPECIAL INVESTIGATION
TO BE FILLED OUT BY CONFLAINTANT
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DATE7
ADDRESS
7
LOCATION
COMPLAINT
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OWNER OF PROPERTY
SIGNATURE OF COMPLAINTANT Z-7
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Fm omcs Usig ONLY
DATE OF INVESTIGATION INVEsnGATOR
CONDITIONS FOUND t*,&j--r i J.,c -1i)F- v e-o Przoo
ACTION TAKEN
COMPLIANCE, L �J- /I
NOTES:
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CITY OF ATLANTIC BEACH 121,911- got lg�
SPECIAL INVESTIGATION
TO BE FILLED OUT BY COMPLAINTANT
DATE
ADDRESS- 9-5 9 7 . <!�
LOCATION
COMPLAINT 7 1/1 o'
OWNER OF PROPERTY-
COMPLAINTANT PHONE # 7
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FOR OFFICE USE ONLY
DATE OF INVESTIGATION INVESTIGATOR hp-�
4, 1
CONDITIONS FOUND—
ACTION TAKEN
COMPLIANCE
NOTES: