CE 96 W 3rd St 2012 tl
Compliance Investigation Form
Investigation# I Date of Request: Time of Request:
Name of Person Making Request: J/
Address: �J o`' k,64XPhone#
Investigation Type,,:
Location (Address) of Violation:
Property Owner:
VIOLATIONS:
Action Taken:
Z
Legal Description:
RE#: Compliance:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009