CE 408 Irex Rd 2013 ( 1,J3
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Compliance Investigation Form
Investigation# ` Date of Request: �2 Z� J''fime of Request:
Name of Person Making Request:
Address: zo d Phone#
Investigation Type
Location (Address) of Violation: Ot
Property Owner:
VIOLATIONS: 71�
Action Taken:
p
Legal Description:
RE#: Compliance:
FACode Enforcement\Compliance Investigation Form.doc Oct 9 2009
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SENDER: COMPLETE THIS SECTION COMPLETE • ON DELIVERY
• Complete items 1,2,and 3.Also Complete A. S' furs
item 4 if Restricted Delivery is desired.
• Print your name and address on the reverse X ❑Agent
so that we can return the card to you. ❑Addressee
• Attach this card to the back of the mailpiece, B. Received by(PTl e C. Dat�of D ivery
or on the front if space permits. /t1/ I�
1. Article Addressed to: B. Is delivery ress diffeft m 1? 11 Yes
If YES,a delivery address ❑No
MC 213.�
S. Service Type
❑Certified Mail 13 Express Mail
❑Registered ❑Return Receipt for Merchandise
❑Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) 1-1 Yes
2. Article Number 7011 2000
(Transfer from se 0002 13346 6596
PS Form 381 1,February 2004 Domestic Return Receipt
102595-02-M-1540;