CE 179 Pine St 2012 Compliance Investigation Form
Investigation# Date of Request: 9 �% Time of Request:
Name of Person Making Request: f 1t 77-14
Address: 177 � 1�i �" Phone #
Investigation Type : �6 - / 27 / /f ZY-0 f--5T
Location (Address) of Violation: 179 �T
Property Owner: uS I�I✓ ��7'r
VIOLATIONS:
Action Taken: �oY V 7;Z
U z 0 rave
92-2-33
eAU
Legal Description:
RE#: Compliance:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009